Organization
BELLALUNA LIL LIGHT LLC/DBA MOUNTAIN GRIT WELLNESS LLC
Active
Parent organization
BELLALUNA LIL LIGHT LLC/ DBA MOUNTAIN GRIT WELLNESS LLC
Other names
Mountain Grit Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLALUNA LIL LIGHT LLC/ DBA MOUNTAIN GRIT WELLNESS LLC
Authorized official
SHARLENE E. ROGERS CNP (OWNER/MANAGER/PROVIDER)
(575) 491-2310
Entity
Organization
Contact information
Practice address
3496 US HIGHWAY 82, MAYHILL, NM 88339
(575) 687-4232
Mailing address
PO BOX 22, MAYHILL, NM 88339-0022
(575) 491-2310
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
261Q00000X
Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us