NPI 1013882208
Southwest Supported Living LLC
Practice location
- Address
- 712 Branding Iron St SE, Albuquerque, NM 87123-5101
- Phone
- (505) 264-6786
Authorised official
- Name
- Shawn Marcos Bunton
- Title
- Ceo
- Phone
- (505) 264-6786
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1013882208
- Entity type
- Organization
- NPI issued
- 7 Oct 2025
- Record last updated
- 7 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.