Organization Name: | MED-CARE P.A. LLC |
NPI Number: | 1679944243 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIANA VILLAGRANA (DIRECTOR) |
Mailing Address: | 101 Palomas Ct Sunland Park |
State: | NM US |
Postal Code: | 880639225 |
Phone Number: | 5755890811 |
Fax Number: | 5755894818 |
NPI Enumeration Date: | 10/08/2015 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 03258753008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |