Organization
EBEN-EZER HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELES M DEAN (ADMINISTRATOR)
(575) 824-5320
Entity
Organization
Contact information
Practice address
524 PALOMA BLANCA DR, CHAPARRAL, NM 88081-7821
(575) 824-5320
Mailing address
524 PALOMA BLANCA DR, CHAPARRAL, NM 88081-7821
(575) 824-5320
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
012713
TX
251E00000X
Home Health Agency
Primary
33853312
NM
Other
Enumeration date
10/27/2010
Last updated
10/29/2010
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