# FOUR BROTHERS HEALTH CARE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Four Corners Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881022945
- **Authorized official:** GARY DEAN SLAVENS (CEO/OWNER)
- **Authorized official phone:** (801) 874-4233

## Contact information

- **Practice address:** HIGHWAY 491, SUITE 15, NAVAJO SHOPPING CENTER, SHIPROCK, NM 87420
- **Practice address phone:** (801) 874-4233
- **Mailing address:** PO BOX 1929, SHIPROCK, NM 87420-1929
- **Mailing address phone:** (801) 874-4233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 2T3441 | NM | Yes |

## Other

- **Enumeration date:** 10/28/2013
- **Last updated:** 04/02/2014
