Organization
NM CUIDADO CASERO HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN SANTIAGO DRPH, MS, ET, BSN (CEO)
(817) 310-1100
Entity
Organization
Contact information
Practice address
820 ANTHONY DR STE 3A, ANTHONY, NM 88021-9331
(575) 882-3539
(575) 882-2369
Mailing address
1110 N CARROLL AVE, SOUTHLAKE, TX 76092-5306
(817) 310-1100
(817) 310-1197
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03237052
—
NM
05
—
05253837
—
NM
Enumeration date
01/28/2009
Last updated
06/11/2020
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