Organization
HEART TO HOME PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH MARTINEZ (OWNER)
(505) 796-2228
Entity
Organization
Contact information
Practice address
10501 PAVON PL NW, ALBUQUERQUE, NM 87114-1465
(505) 796-2228
(505) 897-5997
Mailing address
10501 PAVON PL NW, ALBUQUERQUE, NM 87114-1465
(505) 796-2228
(505) 897-5997
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
FA0100849
NM
Other
Enumeration date
02/06/2012
Last updated
03/21/2013
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