institution
Providence Support Services Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Albuquerque, New Mexico
NPI 1588876932

Providence Support Services Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Albuquerque, NM. Providence Support Services Inc. practices in Albuquerque, NM. The NPI Number for Providence Support Services Inc. is 1588876932 and holds a License No. 68929072 (New Mexico).

The current practice location address for Providence Support Services Inc. is 8328 Calle Primera Nw, Albuquerque, NM and can be reached out via phone at 505-898-9435 and via fax at 505-898-9052. You can also correspond with Providence Support Services Inc. through the mailing address at 8328 CALLE PRIMERA NW, ALBUQUERQUE, NM - 87120-5386 (mailing address contact number: 505-898-9435).

Location: 8328 Calle Primera Nw, Albuquerque, NM, 87120-5386
institution
Provider Profile Details
NPI Number
1588876932
Provider Name
Providence Support Services Inc.
Credential
Provider Entity Type
Organization
Address
8328 Calle Primera Nw, Albuquerque, NM, 87120-5386
Phone Number
505-898-9435
Fax Number
505-898-9052
Provider Enumeration Date
05/05/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
68929072 01 NM PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
8328 Calle Primera Nw
City
State
Zip
87120-5386
Phone Number
505-898-9435
Fax Number
505-898-9052
person
Provider Business Mailing Address Details
Address
8328 Calle Primera Nw
City
State
Zip
87120-5386
Phone Number
505-898-9435
Fax Number
505-898-9052
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.
68929072 (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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