Organization
MIS AMIGOS FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY JOE SANCHEZ (DIRECTOR OF OPERATIONS)
(575) 461-3144
Entity
Organization
Contact information
Practice address
224 W ROUTE 66 BLVD, TUCUMCARI, NM 88401-3257
(575) 461-3144
(575) 461-1852
Mailing address
224 W ROUTE 66 BLVD, TUCUMCARI, NM 88401-3257
(575) 461-3144
(575) 461-1852
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
5466
NM
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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