| NPI | 1689074254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNETTE BURNS Member 505-896-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |