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Organization

SIERRA HEALTH CARE, INC.

Active
Other names
Sierra Personal Care
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT JEREMY MARTIN (PRESIDENT)
(505) 828-0232
Entity
Organization

Contact information

Practice address
1400 N SILVER ST, TRUTH OR CONSEQUENCES, NM 87901-1957
(505) 743-1175
Mailing address
1400 N SILVER ST, TRUTH OR CONSEQUENCES, NM 87901-1957
(505) 743-1175

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
09672320
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09672320
PROVIDER NUMBER
NM
01
73085758
DISABLED & ELDERLY WAIVER
NM
Enumeration date
03/14/2007
Last updated
08/22/2020
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