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Organization
FOOTPRINTS HOME CARE, INC
Active
Organization
FOOTPRINTS HOME CARE, INC
Active
Other names
Cowan Clinic, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN FLETCHER (PRESIDENT AND CEO)
(505) 503-2742
Entity
Organization
Contact information
Practice address
5941-A JEFFERSON ST NE, ALBUQUERQUE, NM 87109
(505) 883-4100
(505) 889-9400
Mailing address
5941-A JEFFERSON ST NE, ALBUQUERQUE, NM 87109
(505) 883-4100
(505) 889-9400
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6214
NM
251J00000X
Nursing Care Agency
6214
NM
Other
Enumeration date
02/08/2007
Last updated
06/23/2014
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