Healthcare Provider Details

I. General information

NPI: 1609799592
Provider Name (Legal Business Name): MS. NAOMI JOJOLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 MAPLEWOOD DR NW
ALBUQUERQUE NM
87120-3924
US

IV. Provider business mailing address

7600 MAPLEWOOD DR NW
ALBUQUERQUE NM
87120-3924
US

V. Phone/Fax

Practice location:
  • Phone: 505-836-0782
  • Fax: 505-831-2253
Mailing address:
  • Phone: 505-836-0782
  • Fax: 505-831-2253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number2280
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: