Organization
MICKIE REYNOLDS
Active
Other names
Home Health Unlimited
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICKIE R. REYNOLDS REGISTERED NURSE (OWNER)
(505) 257-4577
Entity
Organization
Contact information
Practice address
506 WINGFIELD ST, RUIDOSO, NM 88345-9327
(505) 257-4577
Mailing address
506 WINGFIELD ST, RUIDOSO, NM 88345-9327
(505) 257-4577
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3271
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03112620000
CRS ID
NM
05
—
05700752
—
NM
Enumeration date
06/25/2007
Last updated
03/16/2010
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