Organization
FIRM FOUNDATION HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY PINO (OWNER)
(505) 879-6233
Entity
Organization
Contact information
Practice address
942B HIGHWAY 602, VANDERWAGEN, NM 87326
(505) 879-6233
Mailing address
PO BOX 1701, GALLUP, NM 87305-1701
(505) 879-6233
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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