Southwest Supported Living LLC
NPI #1013882208 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1013882208
- Entity Type
- Organization
- Organization Name
- Southwest Supported Living LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Oct 7, 2025
- Last Updated
- Oct 7, 2025
Practice Location
- Address
- 712 BRANDING IRON ST SE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87123-5101
- Phone
- (505) 264-6786
Authorized Official
- Name
- MR. SHAWN MARCOS BUNTON
- Title
- CEO
- Phone
- (505) 264-6786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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