Little Sisters of the Poor of New Mexico, Inc.
NPI #1902022130 in Gallup, New Mexico
Provider Information
- NPI Number
- 1902022130
- Entity Type
- Organization
- Organization Name
- Little Sisters of the Poor of New Mexico, Inc.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1900 MARK AVE
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-4822
- Phone
- (505) 863-6894
Authorized Official
- Name
- MARY THOMAS D'MELLO
- Title
- DIRECTOR
- Phone
- (505) 863-6894
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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