Organization
R-WAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLEE J CORDOVA (DIRECTOR OWNER)
(505) 753-0060
Entity
Organization
Contact information
Practice address
1101 JOHNNY ROYBAL, INDUSTRIAL PARK RD SUITE A, ESPANOLA, NM 87532-2629
(505) 753-0060
(505) 753-0059
Mailing address
1101 JOHNNY ROYBAL, INDUSTRIAL PARK RD SUITE A, ESPANOLA, NM 87532-2629
(505) 753-0060
(505) 753-0059
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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