Onyx Supportive Living Llc

NPI 1255636221 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1255636221
Enumeration Date 01/21/2011
Last Updated 01/21/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MELVIN D MELVIN
Position CO-OWNER
Phone (505) 792-1996
Fax (505) 899-8251
Practice Location
5301 CROOKED CREEK AVE NW
ALBUQUERQUE NM, 87114-4193, US
Phone (505) 792-1996
Fax (505) 899-8251
Business Location
708 SANDY DR NW
ALBUQUERQUE NM, 87120-3211, US
Phone (505) 720-2273
Fax (505) 831-8090
Toxanomy
Taxonomy Code 320900000X
License State New Mexico
License Number 03159603007
Remove 1255636221 NPI Number
 

According to our database, Onyx Supportive Living Llc NPI is 1255636221, taxonomy code is 320900000X and license number is 03159603007, license state is located at New Mexico. Onyx Supportive Living Llc physically located at 5301 Crooked Creek Ave Nw, Albuquerque NM, 87114-4193. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1255636221 NPI number is provided on an as is basis without warranty of any kind. 1255636221 is maintained by the National Plan & Provider Enumeration System. The contents of Onyx Supportive Living Llc are for informational purposes only.