Organization
ALBUQUERQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HONSOWETZ (OWNER)
(505) 803-7597
Entity
Organization
Contact information
Practice address
4801 LANG AVE NE STE 110, ALBUQUERQUE, NM 87109-4475
(505) 702-8304
Mailing address
4801 LANG AVE NE STE 110, ALBUQUERQUE, NM 87109-4475
(505) 702-8304
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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