Organization
800-HOMECARE, TRUSTED CARE AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN W. RICKETTS (CFO)
(505) 796-3200
Entity
Organization
Contact information
Practice address
1065 SOUTH MAIN STREET, BLDG. D, SUITE H, LAS CRUCES, NM 88005-2909
(575) 522-2323
(575) 522-2322
Mailing address
3721 RUTLEDGE ROAD, NE, ALBUQUERQUE, NM 87109-5566
(505) 796-3200
(505) 796-3234
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
03-091034-00-0
NM
Other
Enumeration date
03/30/2007
Last updated
03/19/2013
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