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Organization

LUNA VISTA HOME HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE GONZALES (ADMINISTRATOR / OWNER)
(505) 977-3131
Entity
Organization

Contact information

Practice address
2116 VISTA OESTE NW, #1A, ALBUQUERQUE, NM 87120-4340
(505) 440-8316
(505) 288-3494
Mailing address
2116 VISTA OESTE NW, #1A, ALBUQUERQUE, NM 87120-4340
(505) 440-8316
(505) 288-3494

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
07/15/2014
Last updated
08/24/2021
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