NPI 1134264971

Arca - Louisiana

Organisation Intellectual Disabilities Intermediate Care Facility Albuquerque, NM

Practice location

Address: 615 Louisiana Blvd SE, Albuquerque, NM 87108-3844
Phone: (505) 332-6814
Fax: (505) 332-6800
Mailing address: 11300 Lomas Blvd NE, Albuquerque, NM 87112-5512

Authorised official

Name: Vince Smith
Title: Director
Phone: (505) 332-6814

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 5022 (NM)

Other Intermediate Care Facility, Intellectual Disabilities providers in New Mexico →

Registry record

NPI: 1134264971
Entity type: Organization
NPI issued: 20 Feb 2007
Record last updated: 4 Jun 2021

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.