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GREAT LIVIN II LLC NPI 1750947420


NPI Information

NPI: 1750947420
Provider Name: GREAT LIVIN II LLC

Former Legal Business Name: GREAT LIVIN II

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
2901 JUAN TABO BLVD NE STE 208
ALBUQUERQUE, NM
ZIP 87112
Phone: (505) 246-6971
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GREAT LIVIN II LLC is an intermediate care facility mentally retarded in Albuquerque, NM. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. GREAT LIVIN II LLC NPI is 1750947420. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Great Livin Ii.

The provider's business location address is:

2901 JUAN TABO BLVD NE STE 208
ALBUQUERQUE, NM
ZIP 87112-885
Phone: (505) 246-6971

The provider's authorized official is Matt Poel .
The authorized official title is Owner and has the following contact phone number (505) 246-6971.

The enumeration date for this NPI number is 5/17/2019 and was last updated on 9/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally RetardedYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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