Providence Support Services Inc
Providence Support Services Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.
- Licensed in
- NM
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8328 Calle Primera NWAlbuquerque, NM 87120-5386
Phone: (505) 898-9435
Fax: (505) 898-9052
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 68929072 (NM) |
|---|
Record details
| NPI number | 1588876932 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Annette Rodden — Director Of Quality Assurance · (505) 898-9435 |
| NPI enumerated | May 5, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 8328 Calle Primera Nw, Albuquerque, NM 87120-5386 |
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