Organization
HERITAGE HOMEHEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE BOURNE (CFO)
(505) 796-3236
Entity
Organization
Contact information
Practice address
2006 BOTULPH RD, 2ND FLOOR, SANTA FE, NM 87505-5764
(888) 237-8176
(505) 983-8887
Mailing address
8212 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87113-2105
(505) 796-3200
(505) 796-3234
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N2403
—
NM
Enumeration date
08/25/2006
Last updated
08/22/2020
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