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Contact Information

SUSAN'S LEGACY
8100 MOUNTAIN RD NE
SUITE 200
ALBUQUERQUE, NM87110
 Phone: 505-843-8450
 Fax: 505-843-8449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for SUSAN'S LEGACY

NPI Number 1366631780
LBN Legal business name SUSAN'S LEGACY
Authorized official KATHRYN WEIL - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2007
Last updated 05/06/2014 - About 12 years ago
Identifiers
NM License # 0071091
NM Medicaid 36873594
NM Other NM600724 VALUE OPTIONS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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