Organization
LOVELACE UNM REHABILITATION HOSPITAL LLC
Active
Parent organization
ARDENTH HEALTH PARTNERS LLC
Other names
Lovelace UNM Outpatient Rehabilitation at Jemez Pueblo
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENTH HEALTH PARTNERS LLC
Authorized official
STEPHEN C PETROVICH (EVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
129 A CANAL STREET, JEMEZ PUEBLO, NM 87024
(575) 834-9168
(575) 834-0238
Mailing address
1 BURTON HILLS BLVD, SUITE 250, NASHVILLE, TN 37215-6293
(615) 296-3000
(615) 296-6227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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