Healthcare Provider Details

I. General information

NPI: 1306855762
Provider Name (Legal Business Name): VISIONS CASE MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 LINCOLN RD NE STE 107
ALBUQUERQUE NM
87109-2323
US

IV. Provider business mailing address

4700 LINCOLN RD NE STE 107
ALBUQUERQUE NM
87109-2323
US

V. Phone/Fax

Practice location:
  • Phone: 505-986-9819
  • Fax: 505-986-9813
Mailing address:
  • Phone: 505-986-9819
  • Fax: 505-986-9813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: LECIE MCNEES
Title or Position: OWNER/ EXECUTIVE DIRECTOR
Credential:
Phone: 505-986-9819