Organization Name: | THI OF NEW MEXICO HOSPICE LLC |
NPI Number: | 1639206717 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY D JAMES (CFO) |
Mailing Address: | 6000 Uptown Blvd. Ne Suite 104 Albuquerque |
State: | NM US |
Postal Code: | 871104157 |
Phone Number: | 5053320847 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 1T3242 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |