NPI 1538444625

Milagro de Vida Community Services LLC

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

Practice location

Address: 2249 Santa Ana, Las Cruces, NM 88011-9082
Phone: (575) 650-4444
Fax: (575) 523-5504

Authorised official

Name: Brenda R Rodriguez
Title: Director
Phone: (575) 650-5767

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1538444625
Entity type: Organization
NPI issued: 20 Oct 2011
Record last updated: 20 Oct 2011

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.