| |
1608 E Spruce St Ste 700, Portales, NM 88130-9510 | |
(575) 226-4663 | |
(575) 226-4666 |
Full Name | |
---|---|
Type | Facility |
Speciality | Home Health |
Location | 1608 E Spruce St Ste 700, Portales, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528386513 | NPI | - | NPPES |
3341 | Other | NM | STATE OPERATOR LICENSE |
666071721 | Medicaid | NM | |
32D2036525 | Other | CLIA |
Mailing Address | Practice Location Address |
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3223 S Loop 289 Ste 210, Lubbock, TX 79423-1352 Ph: (806) 771-0995 | 1608 E Spruce St Ste 700, Portales, NM 88130-9510 Ph: (575) 226-4663 |