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Mayberry Senior Services LLC

Clinic/Center, Adult Day Care in Albuquerque, NM. Organization (NPI-2).

NPI number1154047751
StatusActive
Last updated in NPPESOct 21, 2022

Details

NPI
1154047751
Entity type
Organization (NPI-2)
Legal business name
Mayberry Senior Services LLC
Organization subpart
No
Enumeration date
Oct 14, 2022
Certification date
Oct 21, 2022
Last updated
Oct 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA0600X Clinic/Center, Adult Day Care––Yes

Practice location

5528 Eubank Blvd Ne Ste 1
Albuquerque, NM 87111-1500

Phone 505-271-0000 · Fax 505-212-4282

Mailing address

5528 Eubank Blvd Ne Ste 1
Albuquerque, NM 87111-1500

Phone 505-271-0000

Authorized official

Jessica Lager
Ceo
5052710000

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