| NPI | 1659832947 |
|---|---|
| Doing Business As | PRESBYTERIAN HOME HEALTHCARE OF NORTHERN NEW MEXICO |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY POLAND Manager Provider Enrollment 505-923-5355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |