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Sorinity Support Services, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Espanola, New Mexico
NPI 1033569074

Sorinity Support Services, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Albuquerque, NM. Sorinity Support Services, Llc practices in Espanola, NM. The NPI Number for Sorinity Support Services, Llc is 1033569074 and holds a License No. (New Mexico).

The current practice location address for Sorinity Support Services, Llc is 818 W Granada St, Espanola, NM and can be reached out via phone at 505-629-1712 and via fax at 877-712-4623.

Location: 818 W Granada St, Espanola, NM, 87109-4474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033569074
Provider Name
Sorinity Support Services, Llc
Credential
Provider Entity Type
Organization
Address
818 W Granada St, Espanola, NM, 87109-4474
Phone Number
505-629-1712
Fax Number
877-712-4623
Provider Enumeration Date
06/21/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009302900 05 FL
institution
Provider Business Practice Location Address Details
Address
818 W Granada St
City
Espanola
State
New Mexico
Zip
87532-2409
Phone Number
505-629-1712
Fax Number
877-712-4623
person
Provider Business Mailing Address Details
Address
818 W Granada St
City
Espanola
State
New Mexico
Zip
87532-2409
Phone Number
505-629-1712
Fax Number
877-712-4623
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
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Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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