Organization
CAREFREE ASSISTED LIVING
Active
Other names
Carefree Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTEPHANIE JANE PETROPOULOS RN (RN)
(505) 299-8000
Entity
Organization
Contact information
Practice address
10916 JUAN TABO PL NE, ALBUQUERQUE, NM 87111-3987
(505) 299-8000
(505) 299-8200
Mailing address
10916 JUAN TABO PL NE, ALBUQUERQUE, NM 87111-3987
(505) 299-8000
(505) 299-8200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5647
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37880268
DISABLE/ELDERLY WAIVER NM AGING & LONG TERM SERVICES
—
Enumeration date
11/13/2007
Last updated
07/25/2008
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