Organization
LA BELLA VIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELINDA TURNER (DIRECTOR)
(505) 489-4003
Entity
Organization
Contact information
Practice address
3620 WYOMING BLVD NE, ALBUQUERQUE, NM 87111-3297
(505) 489-4003
Mailing address
2561 SANDIA LOOP NE, RIO RANCHO, NM 87144-7516
(505) 489-4003
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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