| NPI | 1699425322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN DIXON Administrator 505-347-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-03-25 |