institution
Casa Angelica
Intellectual Disabilities Intermediate Care Facility in Albuquerque, New Mexico
NPI 1013067974

Casa Angelica is a Intellectual Disabilities Intermediate Care Facility based in Albuquerque, NM. Casa Angelica practices in Albuquerque, NM. The NPI Number for Casa Angelica is 1013067974 and holds a License No. 5118 (New Mexico).

The current practice location address for Casa Angelica is 5629 Isleta Blvd Sw, Albuquerque, NM and can be reached out via phone at 505-877-5763 and via fax at 505-873-2786. You can also correspond with Casa Angelica through the mailing address at 5629 ISLETA BLVD SW, ALBUQUERQUE, NM - 87105-6623 (mailing address contact number: 505-877-5763).

Location: 5629 Isleta Blvd Sw, Albuquerque, NM, 87105-6623
institution
Provider Profile Details
NPI Number
1013067974
Provider Name
Casa Angelica
Credential
Provider Entity Type
Organization
Address
5629 Isleta Blvd Sw, Albuquerque, NM, 87105-6623
Phone Number
505-877-5763
Fax Number
505-873-2786
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
M-0664 05 NM
institution
Provider Business Practice Location Address Details
Address
5629 Isleta Blvd Sw
City
State
Zip
87105-6623
Phone Number
505-877-5763
Fax Number
505-873-2786
person
Provider Business Mailing Address Details
Address
5629 Isleta Blvd Sw
City
State
Zip
87105-6623
Phone Number
505-877-5763
Fax Number
505-873-2786
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
5118 (New Mexico)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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