MILAGRO DE VIDA COMMUNITY SERVICES LLC NPI 1538444625

NPI Information

MILAGRO DE VIDA COMMUNITY SERVICES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Las Cruces, NM. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MILAGRO DE VIDA COMMUNITY SERVICES LLC NPI is 1538444625. The provider is registered as an organization entity type.

The provider's business location address is:

2249 SANTA ANA
LAS CRUCES, NM
ZIP 88011-082
Phone: (575) 650-4444
Fax: (575) 523-5504

The provider's authorized official is Brenda R Rodriguez .
The authorized official title is Director and has the following contact phone number (575) 650-5767.

The enumeration date for this NPI number is 10/20/2011 and was last updated on 10/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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