ANGELA CHAVEZ NPI 1861839235

NPI Information

ANGELA CHAVEZ is a community based residential treatment facility, intellectual and/or developmental disabilities in Roswell, 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. ANGELA CHAVEZ NPI is 1861839235. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Developmental Services.

The provider's business location address is:

607 S LEA AVE
ROSWELL, NM
ZIP 88203-567
Phone: (575) 420-9541

The provider's authorized official is Angela Teresa Chavez .
The authorized official title is Owner/ceo and has the following contact phone number (575) 420-9541.

The enumeration date for this NPI number is 5/26/2013 and was last updated on 5/26/2013.

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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