Organization Name: | BASIN HOME HEALTH INC. |
NPI Number: | 1013910348 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY NELSON (CONTROLLER) |
Mailing Address: | 200 N Orchard Ave Farmington |
State: | NM US |
Postal Code: | 874016225 |
Phone Number: | 5053258231 |
Fax Number: | 5053254516 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |