National Provider Identifier Database

GREAT LIVIN II LLC
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

GREAT LIVIN II LLC
2400 MONROE ST NE
ALBUQUERQUE, NM87110-4063
Phone: 505-246-6971
Fax: 505-247-2191
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for GREAT LIVIN II LLC

NPI Number 1912755398
Legal business name
LBN
GREAT LIVIN II LLC
Authorized official MATT POEL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/09/2024
Last updated 05/13/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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