| NPI | 1528108271 |
|---|---|
| Former Legal Business Name | COWAN CLINIC, INC |
| Entity Type | Organization |
| Authorized Contact | BRIAN FLETCHER President And CEO 505-503-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NM 6214) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NM 6214) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2014-06-23 |