Organization
LA CASA HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE JONES (OWNER)
(505) 863-6063
Entity
Organization
Contact information
Practice address
206 E GREEN ST, GALLUP, NM 87301-6130
(505) 863-6063
(505) 863-9045
Mailing address
PO BOX 3628, WINDOW ROCK, AZ 86515-3628
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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