Great Livin', Llc

LBN: Great Livin', Llc
Great Livin', Llc is an health care organization with primary practice located at 4213 Ponderosa Ave Ne , Albuquerque NM 87110-1031. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Great Livin', Llc can be contacted via phone (505) 620-3849, or through Poel, Matt via phone (505) 620-3849.

Contact Information

Primary practice address
4213 Ponderosa Ave Ne Albuquerque NM 87110-1031
Phone: (505) 620-3849
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Poel, Matt
Phone: (505) 620-3849

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 86879375 New Mexico

Profile Details

NPI number 1902072697
LBN Legal business name Great Livin', Llc
DBA Doing business as
Authorized official Poel, Matt
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2008
Last updated May 2nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902072697 NPPES
New Mexico MEDICAID 86879375

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