Organization
LIFEROOTS, INC
Active
Other names
RCI, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN MARY CATES (CEO/PRESIDENT)
(505) 255-5501
Entity
Organization
Contact information
Practice address
1111 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1614
(505) 255-5501
(505) 255-9971
Mailing address
1111 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1614
(505) 255-5501
(505) 255-9971
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01771248
NM
261QD1600X
Developmental Disabilities Clinic/Center
PENDING
NM
261QH0700X
Hearing and Speech Clinic/Center
PENDING
NM
261QP2000X
Physical Therapy Clinic/Center
PENDING
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D0886
—
NM
Enumeration date
03/02/2007
Last updated
04/25/2025
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