Organization
A QUALITY ADULT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS AARON CLARK (OWNER)
(505) 301-9840
Entity
Organization
Contact information
Practice address
9304 SILVER MESA ST NW, ALBUQUERQUE, NM 87114-6612
(505) 301-9840
Mailing address
PO BOX 25264, ALBUQUERQUE, NM 87125-0264
(505) 615-0796
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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