| NPI | 1154035798 |
|---|---|
| Former Legal Business Name | HOME DIALYSIS OF SANTA FE |
| Entity Type | Organization |
| Authorized Contact | SUSAN COOPER Lcsw/Owner 505-603-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |