ATRISCO LIGHTS LLC
Assisted Living Facility
Albuquerque, New Mexico
Provider NPI: 1215061684
Organization Information:Organization Name: ATRISCO LIGHTS LLC
Practice Location:
1430 ATRISCO DR NW ALBUQUERQUE, NM 87105 US
Tel: 505-890-8187 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:
1430 ATRISCO DR NW ALBUQUERQUE, NM 87105 US
Tel: 505-890-8187 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NM | 5264 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
A0975 | NM | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin