person
Janyce Wallace
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Albuquerque, New Mexico
NPI 1255843330

Janyce Wallace is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Albuquerque, NM. Janyce Wallace practices in Albuquerque, NM. The NPI Number for Janyce Wallace is 1255843330 and holds a License No. (New Mexico).

The current practice location address for Janyce Wallace is 7700 Ranchwood Dr Nw, Albuquerque, NM and can be reached out via phone at 505-836-3474. You can also correspond with Janyce Wallace through the mailing address at PO BOX 68057, ALBUQUERQUE, NM - 87193-8057 (mailing address contact number: 505-836-3474).

Location: 7700 Ranchwood Dr Nw, Albuquerque, NM, 87193-8057
person
Provider Profile Details
NPI Number
1255843330
Provider Name
Janyce Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
7700 Ranchwood Dr Nw, Albuquerque, NM, 87193-8057
Phone Number
505-836-3474
Fax Number
Provider Enumeration Date
10/30/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7700 Ranchwood Dr Nw
City
State
Zip
87120-4020
Phone Number
505-836-3474
Fax Number
person
Provider Business Mailing Address Details
Address
7700 Ranchwood Dr Nw
City
State
Zip
87120-4020
Phone Number
505-836-3474
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(New Mexico)
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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