Organization
IDEAL HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REINA CORIZ (VICE-PRESIDENT)
(505) 747-4440
Entity
Organization
Contact information
Practice address
706 LA JOYA ST, ESPANOLA, NM 87532-2877
(505) 747-4440
Mailing address
706 LA JOYA ST, ESPANOLA, NM 87532-2877
(505) 747-4440
(505) 747-4443
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000A0231
—
NM
Enumeration date
05/29/2007
Last updated
07/02/2024
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