Organization
MANDY'S SPECIAL FARM
Active
Other names
Mandy's
Organization subpart
No
Provider details
NPI number
Authorized official
RUTHIE ROBBINS JD (PRESIDENT)
(505) 873-1187
Entity
Organization
Contact information
Practice address
346 CLARK RD SW, ALBUQUERQUE, NM 87105-7546
(505) 873-1187
(505) 503-6832
Mailing address
346 CLARK RD SW, ALBUQUERQUE, NM 87105-7546
(505) 873-1187
(505) 503-6832
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
02416649009
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32408382
—
NM
Enumeration date
01/04/2011
Last updated
02/28/2012
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