Provider Demographics
NPI:1437315678
Name:LEANN CURLEY
Entity Type:Organization
Organization Name:LEANN CURLEY
Other - Org Name:SHANDIIN HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-863-6380
Mailing Address - Street 1:2002 E HIGHWAY 66
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87301-4868
Mailing Address - Country:US
Mailing Address - Phone:505-863-6380
Mailing Address - Fax:505-863-6370
Practice Address - Street 1:2002 E HIGHWAY 66
Practice Address - Street 2:
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301-4868
Practice Address - Country:US
Practice Address - Phone:505-863-6380
Practice Address - Fax:505-863-6370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health