Organization
THI OF NEW MEXICO AT EN SU CASA LLC
Active
Other names
En Su Casa Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIE PEBSWORTH (PRESIDENT)
(505) 522-7000
Entity
Organization
Contact information
Practice address
524 DE MOSS ST, SUITE 12, LORDSBURG, NM 88045-2626
(505) 542-3130
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66836361
—
NM
Enumeration date
05/16/2007
Last updated
03/11/2008
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