JANYCE WALLACE
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Individual
NPI: 1255843330
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | Yes | - |
Frequently Asked Questions
NPI 1255843330 is the National Provider Identifier for JANYCE WALLACE, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Albuquerque, NM. This NPI was enumerated on October 30, 2017.
JANYCE WALLACE practices at 7700 RANCHWOOD DR NW, Albuquerque, NM 87120.
Quick Facts
- NPI
- 1255843330
- Type
- Individual
- Enumerated
- Oct 30, 2017
- Last Updated
- Jun 16, 2018
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