Organization
SUPPORTING HANDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN DUBOIS BA (DIRECTOR)
(505) 203-9874
Entity
Organization
Contact information
Practice address
7605 RAYMOND DR NE, ALBUQUERQUE, NM 87109-5428
(505) 203-9874
(505) 821-1850
Mailing address
7605 RAYMOND DR NE, ALBUQUERQUE, NM 87109-5428
(505) 203-9874
(505) 821-1850
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
75129027
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75129027
—
NM
Enumeration date
02/13/2007
Last updated
08/22/2020
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