Organization
THOREAU NAVAJO OUTREACH
Active
Parent organization
THOREAU NAVAJO OUTREACH
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOREAU NAVAJO OUTREACH
Authorized official
MS. CLARA TOLEDO (DIRECTOR)
(505) 862-7415
Entity
Organization
Contact information
Practice address
31 FIRST STREET, THOREAU, NM 87323-0547
(505) 862-7415
(505) 862-7635
Mailing address
PO BOX 547, THOREAU, NM 87323-0547
(505) 862-7415
(505) 862-7635
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
684
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55956556
—
NM
Enumeration date
05/14/2009
Last updated
04/24/2013
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