# PROFESSIONAL HOME HEALTH CARE DE SANTA FE Y LOS ALAMOS

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

## Provider details

- **NPI number:** 1316940216
- **Authorized official:** MR. BRIAN CONWAY R.N. (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (505) 982-8581

## Contact information

- **Practice address:** 10 CALLE MEDICO, SANTA FE, NM 87505-4724
- **Practice address phone:** (505) 982-8581
- **Practice address fax:** (505) 982-0788
- **Mailing address:** 10 CALLE MEDICO, SANTA FE, NM 87505-4724
- **Mailing address phone:** (505) 982-8581
- **Mailing address fax:** (505) 982-0788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 3068 | NM | Yes |
| 251E00000X | Home Health Agency | 6012 A1 | NM | — |
| 251E00000X | Home Health Agency | 6603 | NM | — |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 07/10/2024