Su Vida Services, Inc. in Albuquerque - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Su Vida Services, Inc. - NPI 1174740856
Su Vida Services, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Albuquerque, New Mexico. Su Vida Services, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Su Vida Services, Inc. is 1174740856. The last update date is 2020-08-22.
Su Vida Services, Inc.'s current location address is 3150 Carlisle Blvd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058306045. The mailing address for Su Vida Services, Inc. is 3150 Carlisle Blvd Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Su Vida Services, Inc. |
|---|---|
| Address | 3150 Carlisle Blvd Ne, Albuquerque, New Mexico |
| Phone Number | 5058306045 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURE |
|---|---|
| Authorized Official Name | Miracle A. Vicki |
| Telephone Number | 5058306045 |
NPI Number Detail
| NPI Number | 1174740856 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3150 Carlisle Blvd Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871101678 |
| Phone Number | 5058306045 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000D2601 | NM | -- |
Post Comment/ Review Below
What is the Su Vida Services, Inc.'s 1174740856?
The Su Vida Services, Inc.'s NPI (National Provider Identifier) Number is 1174740856. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Su Vida Services, Inc. located?
The Su Vida Services, Inc. is located at 3150 Carlisle Blvd Ne, Albuquerque, NM 871101678.
What is Su Vida Services, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Su Vida Services, Inc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
On what date did the Su Vida Services, Inc. receive its 1174740856 assignment from the Centers for Medicare & Medicaid Services?
The Su Vida Services, Inc. was assigned its 1174740856 by the Centers for Medicare & Medicaid Services on 2007-04-20.
When was the information regarding Su Vida Services, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Su Vida Services, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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