Blc-Ponce De Leon, LLC
NPI #1598565756 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1598565756
- Entity Type
- Organization
- Organization Name
- Blc-Ponce De Leon, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 17, 2025
- Last Updated
- Mar 17, 2025
Practice Location
- Address
- 640 ALTA VISTA ST
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-4186
- Phone
- (505) 984-8422
Authorized Official
- Name
- ANNA F.C. MUNOZ
- Title
- ASSISTANT SECRETARY
- Phone
- (414) 918-5443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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