| NPI | 1609606169 |
|---|---|
| Doing Business As | 21ST CENTURY QUALITY HOME CARE NEW MEXICO |
| Entity Type | Organization |
| Authorized Contact | TIEASHA TASHAY JAMES WADDY Administrator 832-308-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |