# MESCALERO CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mescalero Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609816206
- **Authorized official:** MERLENE KAYDAHZINNE (ADMINISTRATOR)
- **Authorized official phone:** (575) 464-4802

## Contact information

- **Practice address:** 454 LIPAN AVE, MESCALERO, NM 88340
- **Practice address phone:** (505) 464-4802
- **Practice address fax:** (505) 464-4808
- **Mailing address:** P.O. BOX 359, 454 LIPAN AVE, MESCALERO, NM 88340
- **Mailing address phone:** (575) 464-4802
- **Mailing address fax:** (575) 464-4808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 3127 | NM | — |
| 314000000X | Skilled Nursing Facility | 2026 | NM | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 11/27/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33531846 | — | NM |
| 05 | — | 67601081 | — | NM |