| NPI | 1255631933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELES M DEAN Administrator 575-824-5320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NM 33853312) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TX 012713) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-29 |