| NPI | 1104002187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN ROARK Financial Manager 505-839-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NM 79930387) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-01-21 |