NPI 1598067183

New Self Love Foundation . INC

Organisation Health Maintenance Organization Timberon, NM

Practice location

Address: 123 Pawhuska Drive, Timberon, NM 88350
Phone: (575) 987-2719
Mailing address: P.O. Box 166 123 Pawhuska Drive, Timberon, NM 88350

Authorised official

Name: Marguerita Gaspard
Title: C.E.O.
Phone: (575) 987-2719

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 2962215 (NM)

Other Health Maintenance Organization providers in New Mexico →

Registry record

NPI: 1598067183
Entity type: Organization
NPI issued: 2 Dec 2010
Record last updated: 2 Dec 2010

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.