# THOREAU NAVAJO OUTREACH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THOREAU NAVAJO OUTREACH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861626145
- **Legal business name:** THOREAU NAVAJO OUTREACH
- **Authorized official:** MS. CLARA TOLEDO (DIRECTOR)
- **Authorized official phone:** (505) 862-7415

## Contact information

- **Practice address:** 31 FIRST STREET, THOREAU, NM 87323-0547
- **Practice address phone:** (505) 862-7415
- **Practice address fax:** (505) 862-7635
- **Mailing address:** PO BOX 547, THOREAU, NM 87323-0547
- **Mailing address phone:** (505) 862-7415
- **Mailing address fax:** (505) 862-7635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 684 | NM | Yes |

## Other

- **Enumeration date:** 05/14/2009
- **Last updated:** 04/24/2013