Organization
11.11, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB N PATTERSON (OWNER)
(505) 226-1276
Entity
Organization
Contact information
Practice address
11724 COPPER PL NE, ALBUQUERQUE, NM 87123
(505) 226-1276
Mailing address
11724 COPPER PL NE, ALBUQUERQUE, NM 87123-1312
(505) 226-1276
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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