Organization
HALO HAVEN ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL H MCDOWELL RN (ADMINISTRATIVE RN/OWNER)
(505) 908-7144
Entity
Organization
Contact information
Practice address
6108 COSTA BLANCA AVE NW, ALBUQUERQUE, NM 87114-5848
(505) 908-7144
(505) 717-1211
Mailing address
9401 CERRO LARGO PL NW, ALBUQUERQUE, NM 87114-1672
(505) 908-7144
(505) 717-1211
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1P2209
NM
Other
Enumeration date
06/29/2012
Last updated
08/13/2012
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