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Dungarvin New Mexico, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Grants, New Mexico
NPI 1033826631

Dungarvin New Mexico, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Mendota Heights, NM. Dungarvin New Mexico, Llc practices in Grants, NM. The NPI Number for Dungarvin New Mexico, Llc is 1033826631 and holds a License No. (New Mexico).

The current practice location address for Dungarvin New Mexico, Llc is 825 E Roosevelt Ave, Grants, NM and can be reached out via phone at 505-287-9209.

Location: 825 E Roosevelt Ave, Grants, NM, 55120-1032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033826631
Provider Name
Dungarvin New Mexico, Llc
Credential
Provider Entity Type
Organization
Address
825 E Roosevelt Ave, Grants, NM, 55120-1032
Phone Number
505-287-9209
Fax Number
Provider Enumeration Date
11/02/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
825 E Roosevelt Ave
City
Grants
State
New Mexico
Zip
87020-2115
Phone Number
505-287-9209
Fax Number
person
Provider Business Mailing Address Details
Address
825 E Roosevelt Ave
City
Grants
State
New Mexico
Zip
87020-2115
Phone Number
505-287-9209
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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