Organization
AN OPEN DOOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CHAVEZ I (DIRECTOR)
(575) 382-2107
Entity
Organization
Contact information
Practice address
5818 NUNATAK PL, LAS CRUCES, NM 88012-7929
(575) 382-2170
(575) 373-0121
Mailing address
5818 NUNATAK PL, LAS CRUCES, NM 88012-7929
(575) 382-2170
(575) 373-0121
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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