Provider Demographics
NPI:1760215222
Name:ABQ SENIOR CARE LLC
Entity type:Organization
Organization Name:ABQ SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AREF
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-779-1157
Mailing Address - Street 1:2626 SAN PEDRO DR NE STE G
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3351
Mailing Address - Country:US
Mailing Address - Phone:773-799-1157
Mailing Address - Fax:
Practice Address - Street 1:2626 SAN PEDRO DR NE STE G
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3351
Practice Address - Country:US
Practice Address - Phone:773-799-1157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health