NPI 1588876932

Providence Support Services INC.

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

Practice location

Address: 8328 Calle Primera NW, Albuquerque, NM 87120-5386
Phone: (505) 898-9435
Fax: (505) 898-9052

Authorised official

Name: Annette Marie Rodden
Title: Director of Quality Assurance
Phone: (505) 898-9435

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 68929072 (NM)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in New Mexico →

Registry record

NPI: 1588876932
Entity type: Organization
NPI issued: 5 May 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.