Mora Colfax Head Start
Organization Active NPI Case Management Agency · Holman, NM
NPI 1104132976 · NPPES record last updated Aug 31, 2010
Key facts
- NPI
- 1104132976
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- MORA COLFAX HEAD START
- Practice address
- 3549 State Hwy 518
Holman, NM 87723 - Phone
- (575) 387-3146
- Fax
- (575) 387-6656
- NPI assigned
- Aug 31, 2010
- Organization subpart
- No
Authorized official
- Name
- Beverly Dobbins-Montoya
- Title
- Director
- Phone
- (575) 387-3146
Corporate family (same tax ID) 1
Practitioners 1
-
Kimberly V Mares, RN
National Provider Directory
- Tax ID family
- Mora Colfax Head Start
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
3549 State Hwy 518
Holman, NM 87723
Mailing address
PO Box 180
Holman, NM 87723
Phone (575) 387-3146
Other names
- Mora Independant Schools
Other providers in Holman, NM
All providers in Holman, NM · Case Management 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 31, 2010. 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.