Whalio Doctors

NPI 1972620631

Espanola Valley High School

Organisation Nursing Care Agency Espanola, NM

Practice location

Address
714 Calle Don Diego, Espanola, NM 87532-3414
Phone
(505) 367-3420
Mailing address
Rr 4 Box 200-4, Hernandez, NM 87537-9719

Authorised official

Name
David Cockerham
Title
Superintendent
Phone
(505) 753-2254

Registered specialties

Nursing Care Agency Primary
Agencies Taxonomy 251J00000X Licence RN # R39189 (NM)

Registry record

NPI
1972620631
Entity type
Organization
NPI issued
26 Mar 2007
Record last updated
22 Aug 2020

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.