| Milagro Community Care | |
|
1401 S Don Roser Dr Suite F-1-2 Las Cruces NM 88011-4567 | |
| (575) 521-4848 | |
| (575) 522-1798 |
| Full Name | Milagro Community Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1401 S Don Roser Dr, Las Cruces, New Mexico |
| Authorized Official Name and Position | William E Lafreniere (BILLING MANAGER) |
| Authorized Official Contact | 5755321888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milagro Community Care 1401 S Don Roser Dr Suite F-1-2 Las Cruces NM 88011-4567 Ph: (575) 521-4848 | Milagro Community Care 1401 S Don Roser Dr Suite F-1-2 Las Cruces NM 88011-4567 Ph: (575) 521-4848 |
| NPI Number | 1346310653 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 11/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346310653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 84-180 (New Mexico) | Primary |
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