11.11, LLC
Case Manager/Care Coordinator in Albuquerque, NM. Organization (NPI-2).
NPI number1740708809
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1740708809
- Entity type
- Organization (NPI-2)
- Legal business name
- 11.11, LLC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
11724 Copper Pl NeAlbuquerque, NM 87123
Phone 505-226-1276
Mailing address
11724 Copper Pl NeAlbuquerque, NM 87123-1312
Phone 505-226-1276
Authorized official
Jacob N Patterson
Owner
5052261276
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