Individual provider · Type 1 NPI
Janyce Wallace
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Albuquerque, NM
Practice location
7700 Ranchwood Dr NW
Albuquerque, NM 87120-4020
Mailing address
PO Box 68057
Albuquerque, NM 87193-8057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Albuquerque
About NPI 1255843330
Janyce Wallace's National Provider Identifier is 1255843330, issued on Oct 30, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 16, 2018.