DUNGARVIN NEW MEXICO LLC
NPI 1508573106
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Farmington, NM

Active since November 02, 2022
614 DEKALB RD, FARMINGTON, NM 87401(505) 436-2245 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dungarvin New Mexico Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUNGARVIN NEW MEXICO LLC (NPI 1508573106) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Farmington, New Mexico and active in the NPI registry since November 2022. The organization lists Lori Kress, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508573106
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDUNGARVIN NEW MEXICO LLC
Location Address614 DEKALB RDFarmington, NM 87401-1600
Mailing Address1444 Northland Dr Ste 200Mendota Heights, MN 55120-1032 · (651) 789-5968
Organization SubpartYesParent: Dungarvin Group, Inc.
Authorized OfficialLori KressCeo · (651) 699-0206
Enumeration DateNovember 2, 2022
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
NPI 1508573106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

614 DEKALB RD, Farmington, NM 87401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508573106, enumerated as an "organization" on November 02, 2022.

The provider is located at 614 DEKALB RD FARMINGTON, NM 87401 and the phone number is (505) 436-2245.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.