Organization
ALL NATIONS HOME VISITING PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYKKI ANTONIO (PROGRAM MANAGER)
(505) 290-5363
Entity
Organization
Contact information
Practice address
4931 PROSPECT AVE NE, ALBUQUERQUE, NM 87110-4090
(505) 290-5363
Mailing address
4931 PROSPECT AVE NE, ALBUQUERQUE, NM 87110-4090
(505) 290-5363
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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