NPI 1003568650
Rio Arriba County
Practice location
- Address
- 320 Hunter St, Espanola, NM 87532-3430
- Phone
- (505) 753-4971
- Mailing address
- 1122 Industrial Park Rd, Espanola, NM 87532-3453
Authorised official
- Name
- Amber Leichtle
- Title
- Clinical Director
- Phone
- (505) 747-1418
Registered specialties (3)
Adult Day Care Clinic/Center
Primary
Case Management Agency
In Home Supportive Care Agency
Registry record
- NPI
- 1003568650
- Entity type
- Organization
- NPI issued
- 25 Jan 2022
- Record last updated
- 25 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.