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NEW HORIZONS DEVELOPMENTAL CTR INC

Intermediate Care Facility, Mentally Retarded

Carrizozo, New Mexico

Provider NPI: 1700948999

Organization Information:
Organization Name:  NEW HORIZONS DEVELOPMENTAL CTR INC


Practice Location:
810 E AVE  CARRIZOZO, NM 88301 US
Tel: 505-648-2379  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
NM5085 CASA DEL SOL
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
NM5086 CASA LINDA

Other Provider Identifiers:

IssuerNumberStateType
M4388NM05
M6029NM05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS NM - Page 1



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