Organization
ISLETA ELDERLY SERVICES
Active
Other names
Isleta PCO Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY BLACK M.S. (DIRECTOR)
(505) 869-6661
Entity
Organization
Contact information
Practice address
TRIBAL RD. 40 BLDG. 70, ISLETA, NM 87022
(505) 869-6661
(505) 869-2736
Mailing address
PO BOX 1270, ISLETA, NM 87022-1270
(505) 869-6661
(505) 869-2736
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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