Healthcare Provider Details

I. General information

NPI: 1306955026
Provider Name (Legal Business Name): ARCA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 03/30/2020
Certification Date: 03/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 LOMAS BLVD NE
ALBUQUERQUE NM
87112-5512
US

IV. Provider business mailing address

11300 LOMAS BLVD NE
ALBUQUERQUE NM
87112-5512
US

V. Phone/Fax

Practice location:
  • Phone: 505-332-6700
  • Fax: 505-332-6800
Mailing address:
  • Phone: 505-332-6700
  • Fax: 505-332-6800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELAINE SOLIMON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 505-332-6805