Organization
PRECIOUS LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCA MENDOZA (OWNER, PRESIDENT)
(505) 870-5153
Entity
Organization
Contact information
Practice address
1102 E HIGHWAY 66, GALLUP, NM 87301-5466
(505) 488-2191
(505) 863-4511
Mailing address
2708 MAZON AVE, GALLUP, NM 87301-4671
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/10/2024
Last updated
06/14/2025
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