Organization Name: | LOS ALAMOS VISITING NURSE SERVICE, INC |
NPI Number: | 1235289968 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSEMARY T COYNE (EXECUTIVE DIRECTOR) |
Mailing Address: | 2202 Canyon Road Los Alamos |
State: | NM US |
Postal Code: | 87544 |
Phone Number: | 5056622525 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 6428 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |