Organization
DISABILITY SERVICES INCORPORATED
Active
Other names
McKinley Opportunity & Resource Enterprises
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN I LACAYO (EXECUTIVE DIRECTOR)
(505) 722-4383
Entity
Organization
Contact information
Practice address
503 WILLIAMS ST, BLDG. #16, GALLUP, NM 87301-4799
(505) 722-4383
(505) 722-2191
Mailing address
PO BOX 1296, GALLUP, NM 87305-1296
(505) 722-4383
(505) 722-2191
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D0664
—
NM
05
—
E7471
—
NM
Enumeration date
01/13/2007
Last updated
08/22/2020
Update your record
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