Organization
MESCALERO INDIAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORLYNN SIMMONS (CEO)
(575) 464-4441
Entity
Organization
Contact information
Practice address
318 ABALONE LOOP, MESCALERO, NM 88340-0318
(575) 464-4441
(575) 464-4422
Mailing address
PO BOX 210, MESCALERO, NM 88340-0210
(575) 464-4441
(575) 464-4422
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
107572
CO
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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