| NPI | 1215649629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J DONAVAN Owner/Administrator 575-479-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2024-11-27 |