| NPI | 1659421360 |
|---|---|
| Former Legal Business Name | DAVIS PERSONAL CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | GEORGIA N MONTGOMERY Administrator Owner 505-256-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |