State of New Mexico

NPI #1922094770 in Roswell, New Mexico

Provider Information

NPI Number
1922094770
Entity Type
Organization
Organization Name
State of New Mexico
Subpart
Yes (part of a larger organization)
Parent Organization
NEW MEXICO REHABILITATION CENTER
Primary Specialty
Rehabilitation Hospital
Enumeration Date
Sep 26, 2005
Last Updated
Jan 21, 2025

Practice Location

Address
72 GAIL HARRIS AVE
ZIP Code
88203-8116
Phone
(575) 347-3400

Authorized Official

Name
MS. JANIE DAVIES
Title
HOSPITAL ADMINISTRATOR
Phone
(575) 347-3400

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Rehabilitation, Substance Use Disorder Unit
Special Hospital
Rehabilitation Hospital

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