Pueblo of Isleta Assisted Living Facility
Organization Active NPI Assisted Living Facility · Isleta, NM
NPI 1184048423 · NPPES record last updated Feb 6, 2014
Key facts
- NPI
- 1184048423
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- PUEBLO OF ISLETA ASSISTED LIVING FACILITY
- Practice address
- 1001 Tribal Road 40
Isleta, NM 87022 - Phone
- (505) 869-3111
- Fax
- (505) 869-7596
- NPI assigned
- Feb 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Eddie Paul Torres Sr.
- Title
- Governor
- Phone
- (505) 869-3111
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Pueblo of Isleta Behavioral Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NM | Yes | |
| Alzheimer Center (Dementia Center) | 311500000X | NM |
Addresses
Primary practice location
1001 Tribal Road 40
Isleta, NM 87022
Mailing address
PO Box 1270
Isleta, NM 87022-1270
Phone (505) 869-3111
Other providers in Isleta, NM
- Pueblo of Isleta
- Pueblo of Isleta
- Pueblo of Isleta
- Pueblo of Isleta
- Pueblo of Isleta
- Pueblo of Isleta Behavioral Health
- Gabriel I Rael
- John James Richter III
- Karen Marie Roop
- Jennifer Sandoval
All providers in Isleta, NM · Assisted Living Facility in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.