Healthcare Provider Details

I. General information

NPI: 1801307343
Provider Name (Legal Business Name): ALBUQUERQUE UPTOWN ASSISTED LIVING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2017
Last Update Date: 10/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7611 INDIAN SCHOOL RD NE
ALBUQUERQUE NM
87110-5407
US

IV. Provider business mailing address

7611 INDIAN SCHOOL RD NE
ALBUQUERQUE NM
87110-5407
US

V. Phone/Fax

Practice location:
  • Phone: 505-263-7992
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANNA GARCIA
Title or Position: OWNER
Credential:
Phone: 505-263-7992