Organization
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
Active
Other names
Roosevelt General Hospital Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
GARY PARTIN (DIRECTOR)
(505) 226-4663
Entity
Organization
Contact information
Practice address
1412 SOUTH AVENUE O, SUITE B, PORTALES, NM 88130-7091
(505) 226-4663
(505) 226-4664
Mailing address
PO BOX 868, PORTALES, NM 88130-0868
(505) 226-4663
(505) 226-4664
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3178
NM
Other
Enumeration date
09/07/2007
Last updated
12/20/2007
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