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General NPI Number Information
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NPI Number | 1063160364
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Entity Type | Organization
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Legal Business Name | ONE CARE NM LLC
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 907 W COAL AVE
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City | GALLUP
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State | NM
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Zip | 87301-6643
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Country | US
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Telephone | 505-726-4155
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Fax |
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Provider Business Mailing Address
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Address Line | 907 W COAL AVE
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City | GALLUP
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State | NM
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Zip | 87301-6643
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Country | US
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Telephone | 505-726-4155
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Fax |
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | MOHANNAD RASHID
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Credential | PHARMD
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Telephone | 505-726-4155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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