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General NPI Number Information
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NPI Number | 1497800106
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Entity Type | Organization
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Legal Business Name | RAMAH CARE SERVICES, INC.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 2405 FUHS AVE BLDG 7
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City | GALLUP
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State | NM
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Zip | 87301-4402
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Country | US
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Telephone | 505-863-8940
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Fax | 505-863-8943
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Provider Business Mailing Address
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Address Line | PO BOX 3368
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City | GALLUP
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State | NM
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Zip | 87305-3368
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Country | US
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Telephone | 505-488-2178
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Fax | 505-863-7910
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. KYLE BRIGGS
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Credential |
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Telephone | 505-863-8940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 5753
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License Number State | NM
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