Loyal Service Agency Inc.
NPI #1033519897 in Grants, New Mexico
Provider Information
- NPI Number
- 1033519897
- Entity Type
- Organization
- Organization Name
- Loyal Service Agency Inc.
- Primary Specialty
- Home Health
- Enumeration Date
- Aug 29, 2014
- Last Updated
- Aug 29, 2014
Practice Location
- Address
- 103 GOLTZ DR
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-2155
- Phone
- (505) 285-2966
Authorized Official
- Name
- MRS. LONNEL M SANDOVAL-ASEBEDO, R.N.
- Title
- OWNER
- Phone
- (505) 285-2966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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