NPI 1972390698

Elijah Kenneth Prince

Practitioner Developmentally Disabled Services Day Training Agency Albuquerque, NM

Practice location

Address: 6800 Vista del Sol Dr NW, Albuquerque, NM 87120-3299
Phone: (760) 815-0568

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in New Mexico →

Registry record

NPI: 1972390698
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Apr 2025
Record last updated: 24 Apr 2025

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.