Organization
ZELEVIE OUTPATIENT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN ANDERSON (EXECUTIVE DIRECTOR)
(505) 675-4545
Entity
Organization
Contact information
Practice address
201 NELSON AVE, FARMINGTON, NM 87401-3374
(505) 675-4545
(505) 436-2763
Mailing address
201 NELSON AVE, FARMINGTON, NM 87401-3374
(505) 675-4545
(505) 436-2763
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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