NPI 1033593082
La Casa de Buena Salud INC
Practice location
- Address
- 1601 E Bland St, Roswell, NM 88203-7900
- Phone
- (575) 627-2808
- Mailing address
- 1515 W Fir St, Portales, NM 88130-5703
Authorised official
- Name
- Seferino M Montano
- Title
- Ceo
- Phone
- (575) 356-6695
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1033593082
- Entity type
- Organization
- NPI issued
- 18 Jul 2015
- Record last updated
- 18 Jul 2015
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.