Organization
LOS ALAMOS VISITING NURSE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI WOLFE R.N. (EXECUTIVE DIRECTOR)
(505) 662-2525
Entity
Organization
Contact information
Practice address
109 CENTRAL PARK SQ, LOS ALAMOS, NM 87544-4020
(505) 662-2525
(505) 662-7390
Mailing address
109 CENTRAL PARK SQ, LOS ALAMOS, NM 87544-4020
(505) 662-2525
(505) 662-7390
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6036
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011797486000
NMCRS
NM
05
—
N0145
—
NM
Enumeration date
07/07/2005
Last updated
07/23/2019
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