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Organization
FAMILIAS DE LUZ SUPPORTIVE & ASSISTED LIVING
Active
Organization
FAMILIAS DE LUZ SUPPORTIVE & ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCELOTL A. MORA (CO-DIRECTOR)
(505) 417-1355
Entity
Organization
Contact information
Practice address
422 ALCAZAR ST NE, ALBUQUERQUE, NM 87108-2010
(505) 417-1355
Mailing address
422 ALCAZAR ST NE, ALBUQUERQUE, NM 87108-2010
(505) 417-1355
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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