| NPI | 1609352731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAIAH CELSO STAFFORD Owner 505-596-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |