NPI 1124189048

New Mexico Department of Health

Organisation Intellectual Disabilities Intermediate Care Facility Belen, NM

Practice location

Address: 84 Estancia Road, Belen, NM 87002
Phone: (505) 864-4015
Fax: (505) 841-5316
Mailing address: 445 Camino del Rey SW Suite a, Los Lunas, NM 87031

Authorised official

Name: Caitlyn Blaine
Title: Finance Director
Phone: (505) 264-5456

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 5240 (NM)

Other Intermediate Care Facility, Intellectual Disabilities providers in New Mexico →

Registry record

NPI: 1124189048
Entity type: Organization
NPI issued: 13 Dec 2006
Record last updated: 24 Feb 2025

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.