NPI 1255843330

Janyce Wallace

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

Practice location

Address: 7700 Ranchwood Dr NW, Albuquerque, NM 87120-4020
Phone: (505) 836-3474
Mailing address: PO Box 68057, Albuquerque, NM 87193-8057

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: 1255843330
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2017
Record last updated: 16 Jun 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.

Contact

(505) 836-3474 Open in maps

This is the number in the registry. Confirm before relying on it - practices move.

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