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Organization
FOUR BROTHERS HEALTH CARE,LLC
Active
Organization
FOUR BROTHERS HEALTH CARE,LLC
Active
Other names
Four Corners Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DEAN SLAVENS (CEO/OWNER)
(801) 874-4233
Entity
Organization
Contact information
Practice address
HIGHWAY 491, SUITE 15, NAVAJO SHOPPING CENTER, SHIPROCK, NM 87420
(801) 874-4233
Mailing address
PO BOX 1929, SHIPROCK, NM 87420-1929
(801) 874-4233
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2T3441
NM
Other
Enumeration date
10/28/2013
Last updated
04/02/2014
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