OrganizationActive
Lifebridge Supported Living LLC
NPI 1912896572 · Clinic/Center · Albuquerque, NM
Provider details
- NPI number
- 1912896572
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Raphael Onyekachi, Excutive Director(147) 046-1714
Specialties & taxonomies
Ambulatory Health Care Facilities
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
4113 Eubank Blvd Ne Ste 200d
Albuquerque, NM 87111-3482
Phone: (470) 461-7149
Approximate (ZIP-level) locationGet directions
Mailing address
4113 Eubank Blvd Ne Ste 200d
Albuquerque, NM 87111-3482
Registry dates
- Enumerated
- 2025-06-30
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.