Provider Demographics
NPI:1578177887
Name:VALENCIA HEALING AT HOME LLC
Entity Type:Organization
Organization Name:VALENCIA HEALING AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARGELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEANEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-332-9396
Mailing Address - Street 1:101 LIVINGSTON LOOP STE C4
Mailing Address - Street 2:
Mailing Address - City:SANTA TERESA
Mailing Address - State:NM
Mailing Address - Zip Code:88008-9753
Mailing Address - Country:US
Mailing Address - Phone:575-332-9396
Mailing Address - Fax:575-332-9399
Practice Address - Street 1:101 LIVINGSTON LOOP STE C4
Practice Address - Street 2:
Practice Address - City:SANTA TERESA
Practice Address - State:NM
Practice Address - Zip Code:88008-9753
Practice Address - Country:US
Practice Address - Phone:575-332-9396
Practice Address - Fax:575-332-9399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care