New Mexico Department of Health
NPI #1124189048 in Belen, New Mexico
Provider Information
- NPI Number
- 1124189048
- Entity Type
- Organization
- Organization Name
- New Mexico Department of Health
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Feb 24, 2025
Practice Location
- Address
- 84 ESTANCIA ROAD
- City
- Belen
- State
- New Mexico
- ZIP Code
- 87002
- Phone
- (505) 864-4015
Authorized Official
- Name
- CAITLYN BLAINE
- Title
- FINANCE DIRECTOR
- Phone
- (505) 264-5456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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