Organization
ESENCIA FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN GALLEGOS (MANAGING DIRECTOR)
(505) 401-9821
Entity
Organization
Contact information
Practice address
3023 ATRISCO DR NW, ALBUQUERQUE, NM 87120-1401
(505) 401-9821
Mailing address
3023 ATRISCO DR NW, ALBUQUERQUE, NM 87120-1401
(505) 401-9821
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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