Organization
SENIORCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN J LOCKYER (CFO)
(505) 977-1994
Entity
Organization
Contact information
Practice address
3168 RENAISSANCE DR SE, RIO RANCHO, NM 87124-7633
(505) 977-1994
(505) 212-2026
Mailing address
3168 RENAISSANCE DR SE, RIO RANCHO, NM 87124-7633
(505) 977-1994
(505) 212-2026
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CU00006391
NM
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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