Healthcare Provider Details

I. General information

NPI: 1730738071
Provider Name (Legal Business Name): JENNY'S CARING HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2019
Last Update Date: 09/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401A W SANDIA CIR SE
ALBUQUERQUE NM
87116-5505
US

IV. Provider business mailing address

8401A W SANDIA CIR SE
ALBUQUERQUE NM
87116-5505
US

V. Phone/Fax

Practice location:
  • Phone: 505-750-3758
  • Fax:
Mailing address:
  • Phone: 505-750-3758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER TEJADA
Title or Position: AUTHORIZED OFFICIAL / OWNER
Credential: LM, CPM
Phone: 480-490-2349