CASA ANGELICA is an intermediate care facility mentally retarded in Albuquerque, NM. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CASA ANGELICA NPI is 1013067974. The provider is registered as an organization entity type.
The provider's business location address is:
5629 ISLETA BLVD SW
ALBUQUERQUE, NM
ZIP 87105-623
Phone: (505) 877-5763
Fax: (505) 873-2786
The provider's authorized official is Louise Turner .
The authorized official title is Administrator and has the following contact phone number (505) 877-5763.
The CLIA number assigned to this NPI record is 32D0916190 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/11/2007 and was last updated on 7/9/2008.