Provider First Line Business Practice Location Address:
WESTSIDE FAMILY - SENIOR HEALTH CENTER
Provider Second Line Business Practice Location Address:
4808 MC MAHON BLVD.
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-272-2900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/14/2006