Organization
ACTIVA HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELLE OSTENDORF (AMBR)
(505) 362-7977
Entity
Organization
Contact information
Practice address
2900 LOUISIANA BLVD STE B1, ALBUQUERQUE, NM 87110-3564
(505) 362-7977
Mailing address
PO BOX 11099, ALBUQUERQUE, NM 87192-0099
(505) 362-7977
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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