Organization
HOGARES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY MITCHELL (HR SPECIALIST)
(505) 342-5489
Entity
Organization
Contact information
Practice address
523 LOUISIANA BLVD SE, ALBUQUERQUE, NM 87108-3842
(505) 266-0492
Mailing address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 345-8471
(505) 342-5450
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1001YM0800X
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87723042
ORGANIZATION OR MEDICAID GROUP NUMBER
NM
Enumeration date
02/19/2010
Last updated
02/19/2010
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