| NPI | 1225336225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MARIE CHEVALIER Administrator 575-218-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: NM 61712) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2022-09-12 |