Rustic Health LLC
NPI #1215649629 in T Or C, New Mexico
Provider Information
- NPI Number
- 1215649629
- Entity Type
- Organization
- Organization Name
- Rustic Health LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Dec 16, 2022
- Last Updated
- Nov 27, 2024
Practice Location
- Address
- 405 N DATE ST STE 4
- City
- T Or C
- State
- New Mexico
- ZIP Code
- 87901-2378
- Phone
- (575) 297-4993
Authorized Official
- Name
- DAVID J DONAVAN, LPN
- Title
- OWNER/ADMINISTRATOR
- Phone
- (575) 479-7773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Clinic/Center - Primary Care — Primary Care |
| In Home Supportive Care |
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