Organization
SANTA ROSA LION CARE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ADRIAN ABREU (EXECUTIVE DIRECTOR)
(505) 454-3523
Entity
Organization
Contact information
Practice address
717 S 3RD ST, SANTA ROSA, NM 88435-2411
(505) 426-2262
(505) 454-1473
Mailing address
PO BOX 927, LAS VEGAS, NM 87701-0927
(505) 426-2262
(505) 454-1473
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
03/08/2016
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