11.11, LLC
Organization Active NPI Case Manager/Care Coordinator · Albuquerque, NM
NPI 1740708809 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1740708809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Legal business name
- 11.11, LLC
- Practice address
- 11724 Copper PL NE
Albuquerque, NM 87123 - Phone
- (505) 226-1276
- NPI assigned
- Sep 8, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Jacob N Patterson
- Title
- Owner
- Phone
- (505) 226-1276
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | Yes |
Addresses
Primary practice location
11724 Copper PL NE
Albuquerque, NM 87123
Mailing address
11724 Copper PL NE
Albuquerque, NM 87123-1312
Phone (505) 226-1276
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.