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Organization
ISLETA ELDERLY SERVICES
Active
Organization
ISLETA ELDERLY SERVICES
Active
Other names
Isleta PCO Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY BLACK M.S. (DIRECTOR)
(505) 869-6661
Entity
Organization
Contact information
Practice address
TRIBAL RD. 40 BLDG. 70, ISLETA, NM 87022
(505) 869-6661
(505) 869-2736
Mailing address
PO BOX 1270, ISLETA, NM 87022-1270
(505) 869-6661
(505) 869-2736
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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