Organization
ADELANTE DEVELOPMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H BULLARD (VP - IT)
(505) 341-2000
Entity
Organization
Contact information
Practice address
3900 OSUNA RD NE, ALBUQUERQUE, NM 87109-4459
(505) 341-2000
Mailing address
3900 OSUNA RD NE, ALBUQUERQUE, NM 87109-4459
(505) 341-2000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D0009
—
NM
05
—
64005275
—
NM
Enumeration date
02/22/2007
Last updated
09/11/2025
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