Su Vida Services, Inc.
NPI #1174740856 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1174740856
- Entity Type
- Organization
- Organization Name
- Su Vida Services, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3150 CARLISLE BLVD NE
- Address 2
- SUITE #206
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87110-1678
- Phone
- (505) 830-6045
Authorized Official
- Name
- VICKI A. MIRACLE
- Title
- TREASURE
- Phone
- (505) 830-6045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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