Casa Fortaleza | |
2425 Alamo Ave Se Albuquerque NM 87106-3234 | |
(505) 485-4826 | |
Not Available |
Full Name | Casa Fortaleza |
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Speciality | Social Worker |
Location | 2425 Alamo Ave Se, Albuquerque, New Mexico |
Authorized Official Name and Position | Elizabeth Wolff Francis (OWNER) |
Authorized Official Contact | 5054854826 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Casa Fortaleza Po Box 36594 Albuquerque NM 87176-6594 Ph: (505) 485-4826 | Casa Fortaleza 2425 Alamo Ave Se Albuquerque NM 87106-3234 Ph: (505) 485-4826 |
NPI Number | 1225499296 |
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Provider Enumeration Date | 03/17/2016 |
Last Update Date | 03/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225499296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | I05918 (New Mexico) | Primary |
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