ARBOR BROOK LLC
Assisted Living Facility
Albuquerque, New Mexico
Provider NPI: 1629187240
Organization Information:Organization Name: ARBOR BROOK LLC
Practice Location:
2216 LESTER DR NE ALBUQUERQUE, NM 87112 US
Tel: 505-296-4808 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2216 LESTER DR NE ALBUQUERQUE, NM 87112 US
Tel: 505-296-4808 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NM | 1050 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
06589294 | NM | 05 | |
CLIA | 32D0535821 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin