Organization
PHALDOR CONSULTING LLC
Active
Other names
JC Home Care & Companion Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MICHAEL GOODRICH (CEO)
(505) 227-6130
Entity
Organization
Contact information
Practice address
308 PEQUIN TRL SE, ALBUQUERQUE, NM 87123-2174
(505) 508-0432
Mailing address
308 PEQUIN TRL SE, ALBUQUERQUE, NM 87123-2174
(505) 508-0432
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3412
NM
251J00000X
Nursing Care Agency
3412
NM
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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