Organization
LA CASA DE BUENA SALUD INC
Active
Other names
La Casa School Based Medical/Dental Center-Mesa Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
SEFERINO M MONTANO (CEO)
(575) 356-6695
Entity
Organization
Contact information
Practice address
1601 E BLAND ST, ROSWELL, NM 88203-7900
(575) 627-2808
Mailing address
1515 W FIR ST, PORTALES, NM 88130-5703
(575) 356-6695
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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