Healthcare Provider Details

I. General information

NPI: 1477122380
Provider Name (Legal Business Name): ARCA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2021
Last Update Date: 06/24/2021
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2404 GUN CLUB RD SW
ALBUQUERQUE NM
87105-6326
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:
Mailing address:
  • Phone: 505-332-6700
  • 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: DO
Phone: 505-332-6832