| NPI | 1215824917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LOERA Business Partner 505-507-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |