Organization
NOR-LEA GENERAL HOSPITAL
Active
Organization
NOR-LEA GENERAL HOSPITAL
Active
Other names
Nor-Lea Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B. SHAW (CEO/ADMINISTRATOR)
(505) 396-6611
Entity
Organization
Contact information
Practice address
922 W AVENUE D, LOVINGTON, NM 88260-3808
(505) 396-5626
Mailing address
1600 N MAIN AVE, LOVINGTON, NM 88260-2813
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
3145
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N2116
—
NM
Enumeration date
06/12/2006
Last updated
03/14/2008
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