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Organization

CASA MIS ABUELOS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLOS FIGUEROA (ADMINISTRATOR/OWNER)
(505) 203-8695
Entity
Organization

Contact information

Practice address
4916 LARCHMONT DR NE, ALBUQUERQUE, NM 87111-2939
(505) 203-8695
(505) 369-1238
Mailing address
4916 LARCHMONT DR NE, ALBUQUERQUE, NM 87111-2939
(505) 203-8695
(505) 369-1238

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2182
NM

Other

Enumeration date
07/14/2014
Last updated
07/14/2014
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