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Dungarvin New Mexico, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gallup, New Mexico
NPI 1871200477

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 Gallup, NM. The NPI Number for Dungarvin New Mexico, Llc is 1871200477 and holds a License No. (New Mexico).

The current practice location address for Dungarvin New Mexico, Llc is 513B Williams St, Gallup, NM and can be reached out via phone at 505-722-4383.

Location: 513B Williams St, Gallup, NM, 55120-1032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871200477
Provider Name
Dungarvin New Mexico, Llc
Credential
Provider Entity Type
Organization
Address
513B Williams St, Gallup, NM, 55120-1032
Phone Number
505-722-4383
Fax Number
Provider Enumeration Date
11/02/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
513B Williams St
City
Gallup
State
New Mexico
Zip
87301-4799
Phone Number
505-722-4383
Fax Number
person
Provider Business Mailing Address Details
Address
513B Williams St
City
Gallup
State
New Mexico
Zip
87301-4799
Phone Number
505-722-4383
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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