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Organization

INNOVATIVE HEALTH AT HOME INCORPORATED

Active
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Organization

INNOVATIVE HEALTH AT HOME INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD E ZAMORA LISW (EXECUTIVE DIRECTOR)
(505) 883-0665
Entity
Organization

Contact information

Practice address
7801 ACADEMY ROAD NE, BUILDING 2, SUITE 104, ALBUQUERQUE, NM 87109-3189
(505) 883-0665
(505) 883-3103
Mailing address
7801 ACADEMY ROAD NE, BUILDING 2, SUITE 104, ALBUQUERQUE, NM 87109-3189
(505) 883-0665
(505) 883-3103

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL

Other

Enumeration date
02/15/2007
Last updated
09/11/2025
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