Provider Demographics
NPI:1245365535
Name:ALTERNATIVE PERSONAL CARE
Entity type:Organization
Organization Name:ALTERNATIVE PERSONAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:E
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-882-5500
Mailing Address - Street 1:PO BOX 2434
Mailing Address - Street 2:
Mailing Address - City:ANTHONY
Mailing Address - State:NM
Mailing Address - Zip Code:88021-2434
Mailing Address - Country:US
Mailing Address - Phone:505-882-5500
Mailing Address - Fax:505-882-5502
Practice Address - Street 1:1215 ANTHONY DR
Practice Address - Street 2:SUITE A
Practice Address - City:ANTHONY
Practice Address - State:NM
Practice Address - Zip Code:88021
Practice Address - Country:US
Practice Address - Phone:505-882-5500
Practice Address - Fax:505-882-5502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM02-945315-00-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health