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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
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