Organization
HEARTWELL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE BOBO (MEMBER)
(505) 702-1061
Entity
Organization
Contact information
Practice address
4123 EUBANK BLVD NE, ALBUQUERQUE, NM 87111-3421
(505) 702-1061
Mailing address
4123 EUBANK BLVD NE, ALBUQUERQUE, NM 87111-3421
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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