Provider Demographics
NPI:1639845043
Name:CHAVES COUNTY JOY CENTERS, INC.
Entity Type:Organization
Organization Name:CHAVES COUNTY JOY CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-623-4866
Mailing Address - Street 1:1822 N MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88201-3380
Mailing Address - Country:US
Mailing Address - Phone:575-623-4866
Mailing Address - Fax:575-623-0907
Practice Address - Street 1:1822 N MONTANA AVE
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88201-3380
Practice Address - Country:US
Practice Address - Phone:575-623-4866
Practice Address - Fax:575-623-0907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care