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Mickie Reynolds
Home Health Agency in Ruidoso, New Mexico
NPI 1871799916

Mickie Reynolds is a Home Health Agency based in Ruidoso, NM. Mickie Reynolds practices in Ruidoso, NM. The NPI Number for Mickie Reynolds is 1871799916 and holds a License No. 3271 (New Mexico).

The current practice location address for Mickie Reynolds is 506 Wingfield St, Ruidoso, NM and can be reached out via phone at 505-257-4577. You can also correspond with Mickie Reynolds through the mailing address at 506 WINGFIELD ST, RUIDOSO, NM - 88345-9327 (mailing address contact number: 505-257-4577).

Location: 506 Wingfield St, Ruidoso, NM, 88345-9327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871799916
Provider Name
Mickie Reynolds
Credential
Provider Entity Type
Organization
Address
506 Wingfield St, Ruidoso, NM, 88345-9327
Phone Number
505-257-4577
Fax Number
Provider Enumeration Date
06/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03112620000 01 NM CRS ID
05700752 05 NM
institution
Provider Business Practice Location Address Details
Address
506 Wingfield St
City
Ruidoso
State
New Mexico
Zip
88345-9327
Phone Number
505-257-4577
Fax Number
person
Provider Business Mailing Address Details
Address
506 Wingfield St
City
Ruidoso
State
New Mexico
Zip
88345-9327
Phone Number
505-257-4577
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
3271 (New Mexico)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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