Arca - Gibson Home

NPI 1043355878 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1043355878
Enumeration Date 02/20/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VINCE VINCE
Position DIRECTOR
Phone (505) 332-6814
Fax (505) 332-6800
Practice Location
5605 GIBSON BLVD SE
ALBUQUERQUE NM, 87108-4831, US
Phone (505) 332-6814
Fax (505) 332-6800
Business Location
11300 LOMAS BLVD NE
ALBUQUERQUE NM, 87112-5512, US
Phone (505) 332-6814
Fax (505) 332-6800
Toxanomy
Taxonomy Code 315P00000X
License State New Mexico
License Number 5028
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According to our database, Arca - Gibson Home NPI is 1043355878, taxonomy code is 315P00000X and license number is 5028, license state is located at New Mexico. Arca - Gibson Home physically located at 5605 Gibson Blvd Se, Albuquerque NM, 87108-4831. NPI Number 1033115704 has the healthcare provider type.

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1043355878 NPI number is provided on an as is basis without warranty of any kind. 1043355878 is maintained by the National Plan & Provider Enumeration System. The contents of Arca - Gibson Home are for informational purposes only.