Organization
MORNINGSTAR PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAOMI T. LUCERO (PRESIDENT)
(505) 426-1113
Entity
Organization
Contact information
Practice address
1822 7TH STREET, LAS VEGAS, NM 87701
(505) 426-1113
(505) 426-1114
Mailing address
PO BOX 3140, LAS VEGAS, NM 87701-4954
(505) 426-1113
(505) 426-1114
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
80586384
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80586384
—
NM
Enumeration date
04/20/2011
Last updated
04/20/2011
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