# HOSPICE OF THE SOUTHWEST ALBQ INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194491209
- **Authorized official:** JESSIE J PANN-NAVA AAS (SECRETARY)
- **Authorized official phone:** (505) 903-1039

## Contact information

- **Practice address:** 5219 FAIRFAX DR NW, ALBUQUERQUE, NM 87114-4661
- **Practice address phone:** (505) 903-1039
- **Mailing address:** 5219 FAIRFAX DR NW, ALBUQUERQUE, NM 87114-4661
- **Mailing address phone:** (505) 903-1039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2021
- **Last updated:** 10/07/2021