NPI 1033519897

Loyal Service Agency INC.

Organisation Home Health Agency Grants, NM

Practice location

Address: 103 Goltz Dr, Grants, NM 87020-2155
Phone: (505) 285-2966
Fax: (505) 285-4055

Authorised official

Name: Lonnel M Sandoval-Asebedo
Title: Owner
Phone: (505) 285-2966

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 3351 (NM)

Other Home Health providers in New Mexico →

Registry record

NPI: 1033519897
Entity type: Organization
NPI issued: 29 Aug 2014
Record last updated: 29 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.