Organization
HHC NUTRITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A MATHIS (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
2 EMILY WAY, WEST HARTFORD, CT 06107-3138
(860) 561-6039
(860) 561-0480
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
08/29/2006
Last updated
07/26/2007
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