Organization
ARCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE SOLIMON (EXECUTIVE DIRECTOR)
(505) 332-6805
Entity
Organization
Contact information
Practice address
11300 LOMAS BLVD NE, ALBUQUERQUE, NM 87112-5512
(505) 332-6700
(505) 332-6800
Mailing address
11300 LOMAS BLVD NE, ALBUQUERQUE, NM 87112-5512
(505) 332-6700
(505) 332-6800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D0085
—
NM
Enumeration date
08/29/2006
Last updated
03/30/2020
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