Healthcare Provider Details

I. General information

NPI: 1346382009
Provider Name (Legal Business Name): FAMILIES PLUS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1698 RIO BRAVO BLVD SW STE L
ALBUQUERQUE NM
87105-6000
US

IV. Provider business mailing address

1698 RIO BRAVO BLVD SW STE L
ALBUQUERQUE NM
87105-6000
US

V. Phone/Fax

Practice location:
  • Phone: 505-873-5251
  • Fax: 505-873-5271
Mailing address:
  • Phone: 505-873-5251
  • Fax: 505-873-5271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: CAROL MATTHEWS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 505-873-5251