NPI 1174740856

Su Vida Services, INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Albuquerque, NM

Practice location

Address: 3150 Carlisle Blvd NE Suite #206, Albuquerque, NM 87110-1678
Phone: (505) 830-6045

Authorised official

Name: Vicki A. Miracle
Title: Treasure
Phone: (505) 830-6045

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1174740856
Entity type: Organization
NPI issued: 20 Apr 2007
Record last updated: 22 Aug 2020

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.