Organization
CASA DE GRACIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS STONE MSW (C.E.O)
(505) 550-1539
Entity
Organization
Contact information
Practice address
521 PALOMAS DR NE, ALBUQUERQUE, NM 87108-1625
(505) 604-2030
Mailing address
521 PALOMAS DR NE, ALBUQUERQUE, NM 87108-1625
(505) 604-2030
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/14/2024
Last updated
02/20/2024
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