Healthcare Provider Details

I. General information

NPI: 1013772623
Provider Name (Legal Business Name): RYDAN SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 CAMINO DEL REX
LAS CRUCES NM
88001-1550
US

IV. Provider business mailing address

PO BOX 441
LAS CRUCES NM
88004-0441
US

V. Phone/Fax

Practice location:
  • Phone: 575-523-0111
  • Fax: 575-571-4130
Mailing address:
  • Phone: 575-523-0111
  • Fax: 575-571-4130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DANIEL SMEAD
Title or Position: COO
Credential:
Phone: 575-523-0111