Organization
CARC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE LYNN COOPER (FINANCIAL DIRECTOR)
(505) 887-1570
Entity
Organization
Contact information
Practice address
902 W CHERRY LN, CARLSBAD, NM 88220-8804
(505) 887-1570
(505) 885-5135
Mailing address
PO BOX 1808, CARLSBAD, NM 88221-1808
(505) 887-1570
(505) 885-5135
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
5036
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000M4065
—
NM
Enumeration date
03/05/2007
Last updated
08/22/2020
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