| NPI | 1093213043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA MAE HUBBARD-POURIER Administrator 505-895-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2022-02-08 |