| NPI | 1073256830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M SUMMERLIN Owner 575-740-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-08-04 |