Organization
PG AND S, LLC
Active
Other names
Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MBAEMBER JOYCE DAVID-WUAM MPH (CEO/OWNER)
(505) 903-1671
Entity
Organization
Contact information
Practice address
10517 CAROL PL NE, ALBUQUERQUE, NM 87112-5305
(505) 903-1671
Mailing address
10517 CAROL PL NE, ALBUQUERQUE, NM 87112-5305
(505) 903-1671
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4796330
NM
251J00000X
Nursing Care Agency
4796330
NM
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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