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Organization

ADVANTICARE HOME HEALTH SERVICES,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LOLITA BEGAY-YAZZIE (ADMINISTRATOR)
(505) 292-5222
Entity
Organization

Contact information

Practice address
3620 WYOMING BLVD NE, SUITE 130, ALBUQUERQUE, NM 87111-3297
(505) 292-5222
(505) 292-5333
Mailing address
PO BOX 11353, ALBUQUERQUE, NM 87192-0353
(505) 292-5222
(505) 292-5333

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60238569
NM
Enumeration date
09/08/2010
Last updated
09/08/2010
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