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Organization

FRIENDSHIP GARDENS ASSISTED LIVING HOME

Active
Other names
FRIENDSHIP GARDENS ALF HOME
Organization subpart
No

Provider details

NPI number
Authorized official
KARREN LEE RN (ADMINISTRATOR)
(352) 228-1220
Entity
Organization

Contact information

Practice address
1909 MORRIS ST NE, ALBUQUERQUE, NM 87112-3125
(352) 228-1220
(505) 503-6978
Mailing address
1909 MORRIS ST NE, ALBUQUERQUE, NM 87112-3125
(352) 228-1220
(505) 503-6978

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700223823
INDIAN HEALTH SERVICE
AZ
Enumeration date
11/11/2019
Last updated
11/11/2019
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