KEWA PUEBLO HEALTH CORPORATION

SANTO DOMINGO PUEBLO, NM
NPI1336659077
Entity TypeOrganization
Authorized ContactSURAJ AGBOKE
Business Ofiice Manager
505-465-3060
Organization Subpart ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2017-10-09
Last Update Date2017-10-09
Business Address
KEWA PUEBLO HEALTH CORPORATION
85 WEST HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Phone number:
Mailing Address
KEWA PUEBLO HEALTH CORPORATION
PO BOX 340
SANTO DOMINGO PUEBLO, NM 87052-0340
Phone number: 505-465-3060