Organization
SANTA MARIA EL MIRADOR
Active
Other names
Fraternal Order of Knights (FOKT)
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ROMERO (CEO)
(505) 424-7700
Entity
Organization
Contact information
Practice address
10 A VAN NU PO, SANTA FE, NM 87508
(505) 424-7700
(505) 395-7452
Mailing address
10 A VAN NU PO, SANTA FE, NM 87508
(505) 424-7700
(505) 395-7452
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
02347611007
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M4099
—
NM
Enumeration date
10/23/2007
Last updated
07/22/2023
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