Organization
LA VIDA FELICIDAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN ISAIAS MONDRAGON (ASSOCIATE DIRECTOR)
(505) 565-1614
Entity
Organization
Contact information
Practice address
530 SUN RANCH VILLAGE LOOP SW, LOS LUNAS, NM 87031-4809
(505) 565-1614
(505) 565-1608
Mailing address
PO BOX 2040, LOS LUNAS, NM 87031-2040
(505) 565-1614
(505) 565-1608
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
5604
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D1246
—
NM
05
—
E7184
—
NM
05
—
Z7498
—
NM
Enumeration date
01/03/2007
Last updated
08/22/2020
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