Organization
AMIGO CASE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY L. ROSS (PRESIDENT)
(505) 362-2236
Entity
Organization
Contact information
Practice address
2610 SAN MATEO BLVD NE STE B, ALBUQUERQUE, NM 87110-3162
(505) 362-2236
Mailing address
2610 SAN MATEO BLVD NE STE B, ALBUQUERQUE, NM 87110-3162
(505) 362-2236
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D2729
—
NM
05
—
000J2006
—
NM
Enumeration date
12/29/2006
Last updated
08/22/2020
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