Healthcare Provider Details

I. General information

NPI: 1053446849
Provider Name (Legal Business Name): SENIOR LIVING SYSTEMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5A THOMAS RD
LOS LUNAS NM
87031-7549
US

IV. Provider business mailing address

PO BOX 7207
ALBUQUERQUE NM
87194-7207
US

V. Phone/Fax

Practice location:
  • Phone: 505-865-8813
  • Fax:
Mailing address:
  • Phone: 505-865-8813
  • Fax: 505-865-4866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number5399
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. SUZETTE LINDEMUTH
Title or Position: DIRECTOR
Credential:
Phone: 505-865-8813