Organization
DHHS,PHS,NAIHS,GALLUP INDIAN MEDICAL CENTER
Active
Other names
Little Sisters Of The Poor of New Mexico, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA DETSOI-SMILEY CEO (CHIEF EXECUTIVE OFFICER)
(505) 722-1000
Entity
Organization
Contact information
Practice address
1900 MARK AVE, GALLUP, NM 87301-4822
(505) 722-1000
(505) 722-1310
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1310
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9435
—
Other
Enumeration date
02/27/2008
Last updated
02/12/2025
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