Healthcare Provider Details

I. General information

NPI: 1134766413
Provider Name (Legal Business Name): ARCA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7317 MESQUITE WOOD DR NW
ALBUQUERQUE NM
87120-4033
US

IV. Provider business mailing address

11200 LOMAS BLVD NE
ALBUQUERQUE NM
87112-5514
US

V. Phone/Fax

Practice location:
  • Phone: 505-274-4442
  • Fax:
Mailing address:
  • Phone: 505-332-6832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH FRANCIS ALMOND
Title or Position: ACCOUNTING MANAGER
Credential:
Phone: 505-332-6832