Organization Name: | GRAMMY'S HOUSE ARTESIA DOMESTIC VIOLENCE SHELTER |
NPI Number: | 1164615209 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY HUSSELMAN (INTERIM EXECUTIVE DIRECTOR) |
Mailing Address: | 811 W Texas Ave Artesia |
State: | NM US |
Postal Code: | 882101968 |
Phone Number: | 5057481198 |
Fax Number: | 5057487334 |
NPI Enumeration Date: | 08/22/2007 |
NPI Last Update Date: | 08/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 1654490 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |