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Organization

HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO, INC

Active
Other names
Heritage Home Care - Las Vegas Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN MARBERRY (CCO)
(903) 390-4040
Entity
Organization

Contact information

Practice address
1012 MILLS AVE, LAS VEGAS, NM 87701-4049
(575) 522-2323
(575) 522-2322
Mailing address
1012 MILLS AVE, LAS VEGAS, NM 87701-4049
(575) 522-2323
(575) 522-2322

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
002570
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7068
LICENSE
NM
Enumeration date
12/10/2009
Last updated
01/22/2026
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