# AN OPEN DOOR

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

## Provider details

- **NPI number:** 1417215112
- **Authorized official:** MR. MARK CHAVEZ I (DIRECTOR)
- **Authorized official phone:** (575) 382-2107

## Contact information

- **Practice address:** 5818 NUNATAK PL, LAS CRUCES, NM 88012-7929
- **Practice address phone:** (575) 382-2170
- **Practice address fax:** (575) 373-0121
- **Mailing address:** 5818 NUNATAK PL, LAS CRUCES, NM 88012-7929
- **Mailing address phone:** (575) 382-2170
- **Mailing address fax:** (575) 373-0121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2012
- **Last updated:** 05/01/2012
