Organization
ROADRUNNER HOME HEALTH, LLC
Active
Other names
Roadrunner Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KECK BSN (OWNER/CEO)
(505) 321-7295
Entity
Organization
Contact information
Practice address
2469 CORRALES RD, SUITE A BUILDING A, CORRALES, NM 87048
(505) 737-8213
(505) 508-1514
Mailing address
PO BOX 2046, CORRALES, NM 87048-2046
(505) 321-7295
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1T7084
STATE LICENSE
NM
Enumeration date
12/04/2013
Last updated
01/11/2024
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