# ALMA HOME HEALTH CARE SERVICES

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

## Provider details

- **NPI number:** 1912273251
- **Authorized official:** MR. RONNIE DWAYNE HICKS IV LVN,DSD, INSTRUCTOR (OWNER)
- **Authorized official phone:** (505) 907-5984

## Contact information

- **Practice address:** 8216 PERIDOT AVE SW, ALBUQUERQUE, NM 87121-8334
- **Practice address phone:** (505) 907-5984
- **Practice address fax:** (505) 717-2472
- **Mailing address:** 8216 PERIDOT AVE SW, ALBUQUERQUE, NM 87121-8334
- **Mailing address phone:** (505) 907-5984
- **Mailing address fax:** (505) 717-2472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/30/2012
- **Last updated:** 03/30/2012
