La Casa Health Care, Inc.

NPI #1326253683 in Gallup, New Mexico

Provider Information

NPI Number: 1326253683
Entity Type: Organization
Organization Name: La Casa Health Care, Inc.
Primary Specialty: Contractor
Enumeration Date: May 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 206 E GREEN ST
City: Gallup
State: New Mexico
ZIP Code: 87301-6130
Phone: (505) 863-6063

Authorized Official

Name: MR. WILLIE JONES
Title: OWNER
Phone: (505) 863-6063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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