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Organization
ACTIVA HOME HEALTHCARE LLC
Active
Organization
ACTIVA HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELLE OSTENDORF (PRESIDENT/ADMIN)
(505) 362-7977
Entity
Organization
Contact information
Practice address
2900 LOUISIANA BLVD NE STE B1, ALBUQUERQUE, NM 87110-3564
(505) 362-7977
Mailing address
PO BOX 11099, ALBUQUERQUE, NM 87192-0099
(505) 362-7977
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/15/2023
Last updated
08/02/2023
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