| NPI | 1922483395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN DWIGHT GODWIN Administrator 575-762-9356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2024-07-03 |