Organization
LIFECARE MOUNTAIN HOSPICE, LLC
Active
Organization
LIFECARE MOUNTAIN HOSPICE, LLC
Active
Other names
LifeCare Mountain Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA COWLING (DIRECTOR OF REVENUE)
(806) 451-5090
Entity
Organization
Contact information
Practice address
1150 WASHINGTON AVENUE, SUITE 215, SANTE FE, NM 87501
(505) 633-6683
(505) 633-6684
Mailing address
PO BOX 733707, DALLAS, TX 75373-3707
(806) 451-5090
(469) 331-0387
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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