Organization
MOUNTAIN SHADOWS HOME CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA E. BARBEE (EXECUTIVE DIRECTOR)
(575) 541-3962
Entity
Organization
Contact information
Practice address
800 N TELSHOR BLVD, STE. B, LAS CRUCES, NM 88011-8251
(505) 521-1366
(505) 521-4772
Mailing address
800 N TELSHOR BLVD, STE. B, LAS CRUCES, NM 88011-8251
(505) 521-1366
(505) 521-4772
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6050
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74452
—
NM
05
—
D0706
—
NM
Enumeration date
02/19/2007
Last updated
08/02/2016
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