Mora Valley Community Health Services, Inc

Organization Active NPI Home Health Agency · Mora, NM

NPI 1700864204 · NPPES record last updated Oct 24, 2011

Key facts

NPI
1700864204
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
6008 (NM)
Legal business name
MORA VALLEY COMMUNITY HEALTH SERVICES, INC
Practice address
State Highway 518 Milemarker 26
Mora, NM 87732-0209
Phone
(575) 387-6078
Fax
(575) 387-2034
NPI assigned
Jan 4, 2006
Organization subpart
No

Authorized official

Name
Mrs. Lorraine French
Title
Office Manager Cardid de San Antoni
Phone
(575) 387-6078

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 6008 NM Yes

Addresses

Primary practice location

State Highway 518 Milemarker 26
Mora, NM 87732-0209

Mailing address

PO Box 209
State Hwy 518 MM 26
Mora, NM 87732-0209
Phone (575) 387-5069

Other identifiers

IdentifierTypeStateIssuer
N1433MedicaidNM

Other names

  • Mora Valley Community Health Services, Inc Cardid de San Antonio Home Doing business as

Other providers in Mora, NM

All providers in Mora, NM · Home Health Agency in New Mexico

Sources for this page

Verify at the official NPI Registry.