| NPI | 1255648564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOLITA BEGAY-YAZZIE Administrator 505-292-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |