Northern NM Vocational Training
Organization Active NPI Developmentally Disabled Services Day Training Agency · Embudo, NM
NPI 1043368244 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1043368244
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- NORTHERN NM VOCATIONAL TRAINING
- Practice address
- 1860 Highway 68
Embudo, NM 87531-0273 - Phone
- (505) 852-4585
- NPI assigned
- Jan 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. David R Reinbolt
- Title
- Executive Director
- Phone
- (505) 852-4585
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
1860 Highway 68
Embudo, NM 87531-0273
Mailing address
1860 Highway 68
Box 273
Embudo, NM 87531-0273
Phone (505) 852-4585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000D4191 | Medicaid | NM |
Other providers in Embudo, NM
- El Centro Family Health
- Embudo Dental Center LLC
- Kayci M Harris
- Kaycee Hinckley
- James Martin
- Richard D Padberg
- Marcey Ellen Shapiro
All providers in Embudo, NM · Developmentally Disabled Services Day Training Agency in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.