Wilson Residential Care Services Of Nm Llc | |
901 Rio Grande Blvd Nw Ste H260 Albuquerque NM 87104-2068 | |
(505) 896-8509 | |
Not Available |
Full Name | Wilson Residential Care Services Of Nm Llc |
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Speciality | Community/behavioral Health |
Location | 901 Rio Grande Blvd Nw Ste H260, Albuquerque, New Mexico |
Authorized Official Name and Position | Dawnette Burns (MEMBER) |
Authorized Official Contact | 5058968509 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wilson Residential Care Services Of Nm Llc 901 Rio Grande Blvd Nw Ste H260 Albuquerque NM 87104-2068 Ph: (505) 896-8509 | Wilson Residential Care Services Of Nm Llc 901 Rio Grande Blvd Nw Ste H260 Albuquerque NM 87104-2068 Ph: (505) 896-8509 |
NPI Number | 1689074254 |
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Provider Enumeration Date | 09/02/2014 |
Last Update Date | 09/02/2014 |
Identifier | Type | State | Issuer |
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1689074254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (New Mexico) | Primary |
253Z00000X | In Home Supportive Care | (New Mexico) | Secondary |
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