# HEART TO HOME PERSONAL CARE AGENCY LLC

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

## Provider details

- **NPI number:** 1457623415
- **Authorized official:** RALPH MARTINEZ (OWNER)
- **Authorized official phone:** (505) 796-2228

## Contact information

- **Practice address:** 10501 PAVON PL NW, ALBUQUERQUE, NM 87114-1465
- **Practice address phone:** (505) 796-2228
- **Practice address fax:** (505) 897-5997
- **Mailing address:** 10501 PAVON PL NW, ALBUQUERQUE, NM 87114-1465
- **Mailing address phone:** (505) 796-2228
- **Mailing address fax:** (505) 897-5997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | FA0100849 | NM | Yes |

## Other

- **Enumeration date:** 02/06/2012
- **Last updated:** 03/21/2013