| NPI | 1275094567 |
|---|---|
| Doing Business As | PRESBYTERIAN HOSPICE OF NORTHERN NEW MEXICO |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY POLAND Manager Provider Enrollment 505-923-5355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |