Organization
FOUR BROTHERS HEALTH CARE,LLC
Active
Other names
Four Corners Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DEAN SLAVENS (CEO/OWNER)
(801) 874-4233
Entity
Organization
Contact information
Practice address
HIGHWAY 491, SUITE 15, NAVAJO SHOPPING CENTER, SHIPROCK, NM 87420
(801) 874-4233
Mailing address
PO BOX 1929, SHIPROCK, NM 87420-1929
(801) 874-4233
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2T3441
NM
Other
Enumeration date
10/28/2013
Last updated
04/02/2014
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