Organization · Type 2 NPI
New Mexico Department of Health
Intellectual Disabilities Intermediate Care Facility · Belen, NM
NPI number
1124189048
Active
Practice location
84 Estancia Road
Belen, NM 87002
Fax (505) 841-5316
Mailing address
445 Camino Del Rey SW, Suite A
Los Lunas, NM 87031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 5240 (NM) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1124189048
New Mexico Department of Health's National Provider Identifier is 1124189048, issued on Dec 13, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Belen, NM. The record was last updated on Feb 24, 2025.