Organization
LOVELACE HEALTH SYSTEM LLC
Active
Parent organization
ARDENT LEGACY HOLDINGS, LLC
Other names
Lovelace Outpatient Rehabilitation Santa Fe
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENT LEGACY HOLDINGS, LLC
Authorized official
MR. STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
1692 HOSPITAL DR, SUITE 202, SANTA FE, NM 87505-4754
(505) 982-6399
(505) 727-9404
Mailing address
1692 HOSPITAL DR, SUITE 202, SANTA FE, NM 87505-4754
(505) 982-6399
(505) 727-9404
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
APPLIED FOR
NM
Other
Enumeration date
09/01/2010
Last updated
02/22/2022
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