# NM 01 PALLIATIVE CARE SERVICES PLLC

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

## Provider details

- **NPI number:** 1386014769
- **Authorized official:** MICHAEL S WRIGHT (MANAGING EMPLOYEE)
- **Authorized official phone:** (505) 842-5460

## Contact information

- **Practice address:** 4801 LANG AVE NE, SUITE 200A, ALBUQUERQUE, NM 87109-4474
- **Practice address phone:** (505) 842-5460
- **Practice address fax:** (505) 842-5466
- **Mailing address:** 3544 E 17TH ST, SUITE 201, AMMON, ID 83406-6911
- **Mailing address phone:** (208) 524-0685
- **Mailing address fax:** (208) 524-0686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2015
- **Last updated:** 09/29/2015
