Organization
MEND INC.
Active
Other names
Casa Alegre
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKY LYNN LOZANO (ADMINISTRATOR)
(505) 257-4672
Entity
Organization
Contact information
Practice address
229 RIO ST, RUIDOSO, NM 88345-7401
(505) 257-4672
(505) 257-4762
Mailing address
PO BOX 362, RUIDOSO, NM 88355-0362
(505) 257-4672
(505) 257-4762
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D0161
—
NM
Enumeration date
04/04/2007
Last updated
08/22/2020
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