Organization
DIRECT HEALTHCARE SOUTH INC
Active
Other names
Direct Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BRITO MA OTR (MANAGER)
(505) 589-2555
Entity
Organization
Contact information
Practice address
101 LIVINGSTON LOOP, SUITE 5, SANTA TERESA, NM 88008
(575) 589-2555
(575) 588-2499
Mailing address
101 LIVINGSTON LOOP, SUITE 5, SANTA TERESA, NM 88008
(575) 589-2555
(575) 588-2499
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
19234287
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19234287
—
NM
Enumeration date
01/19/2007
Last updated
07/14/2008
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