Organization
PROFESSIONAL HOME HEALTH CARE DE SANTA FE Y LOS ALAMOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CONWAY R.N. (DIRECTOR OF OPERATIONS)
(505) 982-8581
Entity
Organization
Contact information
Practice address
10 CALLE MEDICO, SANTA FE, NM 87505-4724
(505) 982-8581
(505) 982-0788
Mailing address
10 CALLE MEDICO, SANTA FE, NM 87505-4724
(505) 982-8581
(505) 982-0788
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3068
NM
251E00000X
Home Health Agency
6012 A1
NM
251E00000X
Home Health Agency
6603
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
357657
JOINT COMMISSION
NM
05
—
62536711
—
NM
05
—
D2062
—
NM
05
—
Z7002
—
NM
Enumeration date
05/24/2005
Last updated
07/10/2024
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