Healthcare Provider Details

I. General information

NPI: 1164826467
Provider Name (Legal Business Name): ABOVE ALL PERSONAL CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 03/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2552 S HWY 41
MORIARTY NM
87035
US

IV. Provider business mailing address

875 NEW MEXICO 217
TIJERAS NM
87059-7813
US

V. Phone/Fax

Practice location:
  • Phone: 505-832-5553
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDREA GONZALES
Title or Position: DIRECTOR
Credential:
Phone: 505-832-5553