| NPI | 1912273251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE DWAYNE HICKS Owner 505-907-5984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |