NPI 1033826631

Dungarvin New Mexico, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Grants, NM

Practice location

Address: 825 E Roosevelt Ave, Grants, NM 87020-2115
Phone: (505) 287-9209
Mailing address: 1444 Northland Dr STE 200, Mendota Heights, MN 55120-1032

Authorised official

Name: Lori Kress
Title: Ceo
Phone: (651) 699-0206

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in New Mexico →

Registry record

NPI: 1033826631
Entity type: Organization
NPI issued: 2 Nov 2022
Record last updated: 27 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.