| NPI | 1881221661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAHNELLE TAYLOR Administrator 505-239-9146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |