Organization
FIVE STAR MONTEBELLO LLC
Active
Parent organization
FIVE STAR MONTEBELLO LLC
Other names
The Montebello on Academy
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR MONTEBELLO LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
10500 ACADEMY RD NE, ALBUQUERQUE, NM 87111-7306
(505) 294-9944
(505) 294-1808
Mailing address
10500 ACADEMY RD NE, ALBUQUERQUE, NM 87111-7306
(505) 294-9944
(505) 294-1808
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
2001
NM
314000000X
Skilled Nursing Facility
Primary
1079
—
Other
Enumeration date
05/26/2006
Last updated
03/28/2019
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