SearchNew MexicoIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Janyce Wallace

NPI 1255843330 · on the registry since 2017 · sole proprietor

Practice

Address
7700 Ranchwood Dr Nw
Albuquerque, NM 87120
Phone
(505) 836-3474

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico