The Jim Wood Home
NPI #1245629187 in Hatch, New Mexico
Provider Information
- NPI Number
- 1245629187
- Entity Type
- Organization
- Organization Name
- The Jim Wood Home
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Jan 15, 2015
- Last Updated
- Jan 15, 2015
Practice Location
- Address
- 1163 W. CANAL ST.
- City
- Hatch
- State
- New Mexico
- ZIP Code
- 87937-0770
- Phone
- (575) 267-1300
Authorized Official
- Name
- TRACY TURNER
- Title
- ADMINISTRATOR
- Phone
- (575) 649-6686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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