Organization
MONTE VISTA PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA I MONTELONGO (OFFICE MANAGER)
(505) 881-4000
Entity
Organization
Contact information
Practice address
6303 INDIAN SCHOOL RD NE STE 104, ALBUQUERQUE, NM 87110-5317
(505) 881-4000
(505) 881-4100
Mailing address
6303 INDIAN SCHOOL RD NE STE 104, ALBUQUERQUE, NM 87110-5317
(505) 881-4000
(505) 881-4100
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03000222
—
NM
Enumeration date
09/27/2021
Last updated
06/04/2024
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