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Organization

TRILOGY NEW MEXICO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRENDA STAFFORD BAKER RN (OWNER/GUARDIAN)
(806) 239-1281
Entity
Organization

Contact information

Practice address
1096 MECHEM DR STE 201, RUIDOSO, NM 88345-7068
(806) 239-1281
(575) 208-7235
Mailing address
206 SOONER ST, WOLFFORTH, TX 79382-5300
(806) 239-1281
(575) 208-7235

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
09/27/2018
Last updated
09/27/2018
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