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Organization

POMEGRANATE ORCHARDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER LOVE (DIRECTOR)
(505) 373-3431
Entity
Organization

Contact information

Practice address
6921 MONTGOMERY BLVD NE STE B, ALBUQUERQUE, NM 87109-1423
(505) 373-3431
Mailing address
9706 CLAREMONT AVE NE, ALBUQUERQUE, NM 87112-1424
(505) 373-3431

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
12/04/2024
Last updated
12/04/2024
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