NPI | 1700040359 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY GAIL BRATCHER Administrator/Owner 575-885-9199 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: NM 3310) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MO 2006023875) |
253Z00000X In Home Supportive Care | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
Enumeration Date | 2008-07-14 |
Last Update Date | 2023-11-29 |