Organization
ANGEL CARE OF NEW MEXICO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LEDESMA (EXECUTIVE DIRECTOR)
(505) 521-2080
Entity
Organization
Contact information
Practice address
151 S WALNUT ST STE C1, LAS CRUCES, NM 88001-2617
(505) 521-2080
Mailing address
151 S WALNUT ST STE C1, LAS CRUCES, NM 88001-2617
(505) 521-2080
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
D4361
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4361
—
NM
Enumeration date
02/14/2007
Last updated
08/22/2020
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