Organization
LEGACY NURSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY SANDOVAL-JONES RN (ADMINISTRATOR/DON)
(505) 287-5601
Entity
Organization
Contact information
Practice address
617 N 1ST ST, GRANTS, NM 87020-2703
(505) 287-5601
(505) 287-9343
Mailing address
617 N 1ST ST, GRANTS, NM 87020-2703
(505) 287-5601
(505) 287-9343
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3407
NM
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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