Organization
NIZHONI PROFESSIONAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA MAE WARNER (PRESIDENT)
(505) 863-9199
Entity
Organization
Contact information
Practice address
1303 METRO DR, GALLUP, NM 87301
(505) 863-9199
(505) 863-9219
Mailing address
1303 METRO DR, GALLUP, NM 87301
(505) 863-9199
(505) 863-9219
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NM
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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