Individual
HUMAIRA CAROLINE OVERHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 CHAMA ST NE, ALBUQUERQUE, NM 87110-7119
(505) 227-6565
Mailing address
1313 CHAMA ST NE, ALBUQUERQUE, NM 87110-7119
(505) 227-6565
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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