Provider Demographics
NPI:1174861744
Name:ALL FAITHS RECEIVING HOME
Entity Type:Organization
Organization Name:ALL FAITHS RECEIVING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCSS ADVOCATE
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-271-0239
Mailing Address - Street 1:3001 TRELLIS DR NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-2937
Mailing Address - Country:US
Mailing Address - Phone:271-032-9345
Mailing Address - Fax:
Practice Address - Street 1:3001 TRELLIS DR NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-2937
Practice Address - Country:US
Practice Address - Phone:271-032-9345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL FAITHS RECEIVING HOME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management