| NPI | 1780817668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP CHARLES WARFIELD Owner/Administrator 505-454-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NM 03157629000) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: NM 03157629000) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |