| NPI | 1649680752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DENISE EVANS Director 575-397-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |