Organization
INDEPENDENT LIVING RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GIL YILDIZ (EXECUTIVE DIRECTOR)
(505) 266-5022
Entity
Organization
Contact information
Practice address
1720 LOUISIANA BLVD., NE, SUITE 204, ALBUQUERQUE, NM 87110-7070
(505) 266-5022
(505) 266-0294
Mailing address
1720 LOUISIANA BLVD., NE, SUITE 204, ALBUQUERQUE, NM 87110-7070
(505) 266-5022
(505) 266-0294
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78905737
—
NM
Enumeration date
02/25/2015
Last updated
07/25/2024
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