Organization
21ST CENTURY QUALITY HOME CARE NEW MEXICO, LLC
Active
Other names
21st Century Quality Home Care New Mexico
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIEASHA TASHAY JAMES WADDY (ADMINISTRATOR)
(832) 308-0776
Entity
Organization
Contact information
Practice address
1209 MOUNTAIN ROAD PL NE STE N, ALBUQUERQUE, NM 87110-7845
(832) 367-9087
Mailing address
503 ROSEN AVE, ARCOLA, TX 77583-2752
(832) 367-9087
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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