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Organization

AT HOME ADVOCACY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISAAC SANDOVAL (DIRECTOR)
(505) 507-6635
Entity
Organization

Contact information

Practice address
3701 SAN MATEO BLVD NE STE 200K, ALBUQUERQUE, NM 87110-1249
(505) 507-6635
(505) 213-0313
Mailing address
3701 SAN MATEO BLVD NE STE 200K, ALBUQUERQUE, NM 87110-1249
(505) 507-6635
(505) 213-0313

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
48777722
NM

Other

Enumeration date
01/29/2009
Last updated
01/29/2009
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