NPI 1992944557

Sequel of New Mexico, LLC

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

Practice location

Address: 1801 Randolph Rd SE, Albuquerque, NM 87106-4230
Phone: (505) 924-6330
Fax: (505) 768-7956
Mailing address: 5400 Gibson Blvd., SE Suite 'A', Albuquerque, NM 87108

Authorised official

Name: Yvonne R Gurule
Title: Director of Marketing & Contracts
Phone: (505) 710-9210

Registered specialties (4)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 2020 (NM)

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Residential Treatment Facilities Taxonomy 320600000X Licence 2022 (NM)

Registry record

NPI: 1992944557
Entity type: Organization
NPI issued: 5 Feb 2009
Record last updated: 20 Feb 2018

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.