| NPI | 1316940216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TUCKER Director Of Operations 505-982-8581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NM 3068) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NM 6012 A1) |
| 251E00000X Home Health (Licence: NM 6603) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-07-27 |