Organization
SENIOR WELLNESS HOMECARE LLC
Active
Other names
Senior Wellness Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA MAYE EUGENIO DIVIDINA RN (OWNER)
(928) 255-3684
Entity
Organization
Contact information
Practice address
1005 21ST ST SE UNIT B1, RIO RANCHO, NM 87124-4030
(505) 359-3586
Mailing address
1380 RIO RANCHO BLVD SE STE 485, RIO RANCHO, NM 87124-1006
(928) 255-3684
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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