Organization
CRANDALL HOME CARE LLC
Active
Parent organization
CRANDALL HOME CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRANDALL HOME CARE LLC
Authorized official
STEVE TRACY (MANAGING MEMBER)
(505) 266-6683
Entity
Organization
Contact information
Practice address
613 N MAIN ST, CLOVIS, NM 88101-6656
(575) 219-4111
Mailing address
PO BOX 66539, ALBUQUERQUE, NM 87193-6539
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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