Organization
ALIVE INC.
Active
Other names
A Life Of Independence Values and Encouragement
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNETTE BURNS (PRESIDENT)
(505) 896-8509
Entity
Organization
Contact information
Practice address
901 RIO GRANDE BLVD NW, SUITE H260, ALBUQUERQUE, NM 87104-2057
(505) 896-8509
Mailing address
901 RIO GRANDE BLVD NW, SUITE H260, ALBUQUERQUE, NM 87104-2057
(505) 896-8509
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PTO129672
NM
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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