Organization Name: | LIFE CHOICE HOSPICE OF NEW MEXICO, LLC |
NPI Number: | 1114271830 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY JAMES (CFO) |
Mailing Address: | 130 Siringo Rd Suite 203 Santa Fe |
State: | NM US |
Postal Code: | 875055863 |
Phone Number: | 5059829550 |
Fax Number: | 5052663827 |
NPI Enumeration Date: | 11/02/2012 |
NPI Last Update Date: | 08/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |