Organization
DAVIS PERSONAL CARE SERVICES LLC
Active
Other names
Davis Personal Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGIA N MONTGOMERY (ADMINISTRATOR OWNER)
(505) 256-9587
Entity
Organization
Contact information
Practice address
1020 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6722
(505) 256-9587
(505) 266-2484
Mailing address
1020 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6722
(505) 256-9587
(505) 266-2484
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75077311
—
NM
Enumeration date
01/12/2007
Last updated
08/22/2020
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