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Organization

ADVANCED HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAYRA ERENDIRA GAONA (ADMINISTRATOR)
(915) 503-0481
Entity
Organization

Contact information

Practice address
101 LIVINGSTON LOOP STE 5, SANTA TERESA, NM 88008-9753
(915) 503-0481
Mailing address
101 LIVINGSTON LOOP STE 5, SANTA TERESA, NM 88008-9753
(915) 503-0481

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
02/16/2018
Last updated
02/16/2018
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