Healthcare Provider Details

I. General information

NPI: 1689084857
Provider Name (Legal Business Name): B & E KARINGHANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2014
Last Update Date: 04/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

869 ANTHONY DR
ANTHONY NM
88021-9325
US

IV. Provider business mailing address

869 ANTHONY DR
ANTHONY NM
88021-9325
US

V. Phone/Fax

Practice location:
  • Phone: 575-882-3555
  • Fax: 575-882-3995
Mailing address:
  • Phone: 575-882-3555
  • Fax: 575-882-3995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number28905733
License Number StateNM

VIII. Authorized Official

Name: MS. IRMA SANCHEZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 575-882-3555