Organization
NEW MEXICO HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE A. RIVERA SR. (OWNER)
(505) 296-0986
Entity
Organization
Contact information
Practice address
8402 LA PALOMITA RD NE, ALBUQUERQUE, NM 87111-4516
(505) 296-0986
Mailing address
8402 LA PALOMITA RD NE, ALBUQUERQUE, NM 87111-4516
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000A6856
—
NM
Enumeration date
03/26/2007
Last updated
07/19/2012
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