Great Livin', Llc in Albuquerque - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Great Livin', Llc - NPI 1902072697
Great Livin', Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Albuquerque, New Mexico. Great Livin', Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Great Livin', Llc is 1902072697. The last update date is 2008-05-02.
Great Livin', Llc's current location address is 4213 Ponderosa Ave Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5056203849. The mailing address for Great Livin', Llc is 4213 Ponderosa Ave Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Livin', Llc |
|---|---|
| Address | 4213 Ponderosa Ave Ne, Albuquerque, New Mexico |
| Phone Number | 5056203849 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Poel Matt |
| Telephone Number | 5056203849 |
NPI Number Detail
| NPI Number | 1902072697 |
|---|---|
| Provider Enumeration Date | 2008-05-02 |
| Last Updated Date | 2008-05-02 |
Provider Mailing Address Detail
| Address | 4213 Ponderosa Ave Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871101031 |
| Phone Number | 5056203849 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 86879375 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 86879375 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Great Livin', Llc by the Centers for Medicare & Medicaid Services?
The Great Livin', Llc has been assigned the NPI (National Provider Identifier) 1902072697 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Great Livin', Llc is physically located?
The Great Livin', Llc is situated at the following address: 4213 Ponderosa Ave Ne, Albuquerque, NM 871101031.
What is Great Livin', Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Great Livin', Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
When did Great Livin', Llc receive its 1902072697 assignment?
The Great Livin', Llc was assigned its 1902072697 on 2008-05-02, which is the date when this unique identifier was issued to the organization.
When was the information regarding Great Livin', Llc most recently updated?
The details pertaining to the Great Livin', Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-05-02.
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