Organization
PUEBLO OF ISLETA ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE PAUL TORRES SR. (GOVERNOR)
(505) 869-3111
Entity
Organization
Contact information
Practice address
1001 TRIBAL ROAD 40, ISLETA, NM 87022
(505) 869-3111
(505) 869-7596
Mailing address
PO BOX 1270, ISLETA, NM 87022-1270
(505) 869-3111
(505) 869-7596
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NM
311500000X
Alzheimer Center (Dementia Center)
—
NM
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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