| Leaders Industries | |
|
115 W Dunnam St Hobbs NM 88240-6020 | |
| (505) 393-8201 | |
| (505) 393-1318 |
| Full Name | Leaders Industries |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 115 W Dunnam St, Hobbs, New Mexico |
| Authorized Official Name and Position | Rusty Baxter (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5053938201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leaders Industries 115 W Dunnam St Hobbs NM 88240-6020 Ph: (505) 393-8201 | Leaders Industries 115 W Dunnam St Hobbs NM 88240-6020 Ph: (505) 393-8201 |
| NPI Number | 1750470415 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750470415 | NPI | - | NPPES |
| D0612 | Medicaid | NM | |
| E7425 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 02143726002 (New Mexico) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | 02143726002 (New Mexico) | Primary |
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