Organization
DUNGARVIN NEW MEXICO, LLC
Active
Parent organization
DUNGARVIN GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUNGARVIN GROUP, INC.
Authorized official
LORI KRESS (CEO)
(651) 699-0206
Entity
Organization
Contact information
Practice address
825 E ROOSEVELT AVE, GRANTS, NM 87020-2115
(505) 287-9209
Mailing address
1444 NORTHLAND DR STE 200, MENDOTA HEIGHTS, MN 55120-1032
(651) 789-5968
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
04/27/2023
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