Carc, Inc. Orchard Home 1

NPI 1184010266 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1184010266
Enumeration Date 04/15/2015
Last Updated 04/15/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MARK MARK
Position CHIEF EXECUTIVE OFFICER
Phone (575) 887-1570
Fax (575) 885-5135
Practice Location
902 W CHERRY LN
CARLSBAD NM, 88220-8804, US
Phone (575) 887-1570
Fax (575) 885-5135
Business Location
PO BOX 1808
CARLSBAD NM, 88221-1808, US
Phone (575) 887-1570
Fax (575) 885-5135
Toxanomy
Taxonomy Code 315P00000X
License State New Mexico
License Number 1T3510
Remove 1184010266 NPI Number
 

According to our database, Carc, Inc. Orchard Home 1 NPI is 1184010266, taxonomy code is 315P00000X and license number is 1T3510, license state is located at New Mexico. Carc, Inc. Orchard Home 1 physically located at 902 W Cherry Ln, Carlsbad NM, 88220-8804. NPI Number 1033115704 has the healthcare provider type.

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1184010266 NPI number is provided on an as is basis without warranty of any kind. 1184010266 is maintained by the National Plan & Provider Enumeration System. The contents of Carc, Inc. Orchard Home 1 are for informational purposes only.