Organization
ZIMMERMAN CONSULTING, INC.
Active
Other names
Sandhill Child Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ALEXY (FISCAL OPERATIONS MANAGER)
(505) 866-9271
Entity
Organization
Contact information
Practice address
79 ROMERO RD, LOS LUNAS, NM 87031-7624
(505) 866-9271
(505) 866-9278
Mailing address
15 JEMEZ DR., LOS LUNAS, NM 87031
(505) 866-9271
(505) 866-9278
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1098 & 1112
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98902563
—
NM
01
—
NM600617
VALUE OPTIONS PROVIDER #
NM
Enumeration date
11/03/2006
Last updated
08/18/2017
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