Organization
ATRISCO LIGHTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARY PFEIFER RN (OWNER MEMBER)
(505) 890-8187
Entity
Organization
Contact information
Practice address
1430 ATRISCO DR NW, ALBUQUERQUE, NM 87105-1110
(505) 890-8187
(505) 899-8736
Mailing address
6300 MONTANO RD NW, SUITE A 2, ALBUQUERQUE, NM 87120-2151
(505) 890-8187
(505) 899-8736
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5264
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0975
—
NM
Enumeration date
03/15/2007
Last updated
08/22/2020
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