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Organization
ADVANTICARE HOME HEALTH SERVICES,LLC
Active
Organization
ADVANTICARE HOME HEALTH SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOLITA BEGAY-YAZZIE (ADMINISTRATOR)
(505) 292-5222
Entity
Organization
Contact information
Practice address
3620 WYOMING BLVD NE, SUITE 130, ALBUQUERQUE, NM 87111-3297
(505) 292-5222
(505) 292-5333
Mailing address
PO BOX 11353, ALBUQUERQUE, NM 87192-0353
(505) 292-5222
(505) 292-5333
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60238569
—
NM
Enumeration date
09/08/2010
Last updated
09/08/2010
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