Organization
WELLESLEY CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE REEVES (ADMINISTRATOR)
(505) 463-2475
Entity
Organization
Contact information
Practice address
3209 WELLESLEY CT NE, ALBUQUERQUE, NM 87107-4416
(505) 889-8007
Mailing address
2705 PALO VERDE DR NE, ALBUQUERQUE, NM 87112-2128
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2109
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01889206
—
NM
Enumeration date
05/02/2007
Last updated
08/22/2020
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