| NPI | 1861466732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY NELSON Administrator 505-324-8269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NM 6635) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 6635) |
| 251J00000X Nursing Care (Licence: NM 6635) | |
| 251E00000X Home Health (Licence: NM 6635) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2011-07-06 |