# FOOTPRINTS HOME CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cowan Clinic, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528108271
- **Authorized official:** MR. BRIAN FLETCHER (PRESIDENT AND CEO)
- **Authorized official phone:** (505) 503-2742

## Contact information

- **Practice address:** 5941-A JEFFERSON ST NE, ALBUQUERQUE, NM 87109
- **Practice address phone:** (505) 883-4100
- **Practice address fax:** (505) 889-9400
- **Mailing address:** 5941-A JEFFERSON ST NE, ALBUQUERQUE, NM 87109
- **Mailing address phone:** (505) 883-4100
- **Mailing address fax:** (505) 889-9400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 6214 | NM | Yes |
| 251J00000X | Nursing Care Agency | 6214 | NM | — |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 06/23/2014