Beverely Place LLC
NPI #1811712987 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1811712987
- Entity Type
- Organization
- Organization Name
- Beverely Place LLC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Nov 22, 2024
- Last Updated
- Dec 23, 2025
Practice Location
- Address
- 5763 DE BACA CT NE
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87144-5213
- Phone
- (609) 457-4506
Authorized Official
- Name
- BAZE BROWNELL, RN
- Title
- CEO
- Phone
- (877) 963-2123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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