Organization
NEZZY CARE OF LAS CRUCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON V CHAVEZ JR. (OWNER)
15755410623
Entity
Organization
Contact information
Practice address
904 PALMER RD, LAS CRUCES, NM 88005-1977
(157) 554-1062
Mailing address
904 PALMER RD, LAS CRUCES, NM 88005-1977
(157) 554-1062
(575) 525-9459
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
03099907003
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03099907003
—
NM
Enumeration date
05/30/2008
Last updated
05/30/2008
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