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Organization

WW HEALTHCARE LLC

Active
Other names
Princeton Place
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HORACE WINCHESTER (EXECUTIVE DIRECTOR)
(312) 255-1514
Entity
Organization

Contact information

Practice address
500 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87108-2051
(505) 255-1717
Mailing address
500 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87108-2051
(505) 255-1717

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1077
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02983834
NM
Enumeration date
01/03/2008
Last updated
07/14/2008
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