Organization
UNIDAS CASE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC PROBERT HANKLA (CO-OWNER VICE-PRESIDENT)
(505) 254-1415
Entity
Organization
Contact information
Practice address
2403 SAN MATEO BLVD NE, W-17, ALBUQUERQUE, NM 87110-4058
(505) 268-8166
Mailing address
2403 SAN MATEO BLVD NE, W-17, ALBUQUERQUE, NM 87110-4058
(505) 268-8166
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D3434
—
NM
05
—
T4945
—
NM
Enumeration date
01/23/2007
Last updated
08/22/2020
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