Organization
OPTIMAL HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREA CAMILEE GALLEGOS RN (RN)
(719) 580-2083
Entity
Organization
Contact information
Practice address
409 MAIN STREET, ANTONITO, CO 81120
(719) 580-2083
Mailing address
PO BOX 36, CONEJOS, CO 81129-0036
(719) 580-2083
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/25/2021
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