# WELLNESS HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093213043
- **Authorized official:** LYDIA MAE HUBBARD-POURIER BSN, MPH (ADMINISTRATOR)
- **Authorized official phone:** (505) 895-4068

## Contact information

- **Practice address:** 4300 CARLISLE BLVD NE STE 4, ALBUQUERQUE, NM 87107-4827
- **Practice address phone:** (505) 373-2636
- **Practice address fax:** (505) 373-2636
- **Mailing address:** 4300 CARLISLE BLVD NE STE 4, ALBUQUERQUE, NM 87107-4827
- **Mailing address phone:** (505) 895-4068
- **Mailing address fax:** (505) 883-9691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 01/24/2018
- **Last updated:** 02/08/2022