| NPI | 1922596923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ANN MANUELITO Owner 505-900-8894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AZ 102334) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |