Organization
AT-HOME PERSONAL CARE SERVICES LLC.
Active
Other names
AT-Home Personal Care Services LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GUADALUPE MORIN (DIRECT CARE ADMINISTRATOR)
(575) 589-0189
Entity
Organization
Contact information
Practice address
5305 MCNUTT RD, SUITE A, SANTA TERESA, NM 88008-9653
(575) 589-0189
(575) 589-0218
Mailing address
5305 MCNUTT RD., SUITE A, SANTA TERESA, NM 88008-5305
(575) 589-0189
(575) 589-0218
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64031284
—
NM
Enumeration date
04/13/2010
Last updated
04/13/2010
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