| NPI | 1558503268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVA VANESSA LARES Owner/D Irector 575-589-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NM 08000262) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |