State of New Mexico
NPI #1992867998 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1992867998
- Entity Type
- Organization
- Organization Name
- State of New Mexico
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF NEW MEXICO
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Feb 11, 2015
Practice Location
- Address
- 3695 HOT SPRINGS BLVD
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-9549
- Phone
- (505) 454-2100
Authorized Official
- Name
- MR. CHARLES JARAMILLO
- Title
- CHIEF OPERATING OFFICER
- Phone
- (505) 454-2306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Psychiatric Hospital |
| Residential Treatment Facility, Emotionally Disturbed Children |
| Nursing Facility/Intermediate Care Facility |
Similar Providers
| Provider Name | |
|---|---|
| New Mexico Behavioral Health Institute | |
| Brookhaven Nursing Home | |
| Sierra Health Care INC | |
| South Valley Care Center, LLC | |
| Zia Home Care |
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