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Intellectual Disabilities Intermediate Care Facility

NPI: 1548474141Organization

Specialties, Licenses & Credentials

Intellectual Disabilities Intermediate Care FacilityPrimary

Intermediate Care Facility, Intellectual Disabilities

Code: 315P00000X

5086(NM)
Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

5086(NM)
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Contact & Hours

Address
810 AVENUE E
CARRIZOZO, NM 88301

Quick Facts

NPI
1548474141
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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