Individual
LISA ABEYTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 12TH AVE SW, RIO RANCHO, NM 87124
(505) 977-0979
(505) 896-6922
Mailing address
809 12TH AVE SW, RIO RANCHO, NM 87124-0748
(505) 977-0979
(505) 896-6922
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
14-00005321
NM
Other
Enumeration date
09/29/2014
Last updated
01/16/2015
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