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Organization

ASSURANCE HOME INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGE R LEWIS LISW (CLINICAL DIRECTOR)
(505) 624-1780
Entity
Organization

Contact information

Practice address
1000 E 18TH ST, ROSWELL, NM 88201-7532
(505) 624-1780
(505) 624-2033
Mailing address
1000 E 18TH ST, ROSWELL, NM 88201-7532
(505) 624-1780
(505) 624-2033

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
4079
NM

Other

Enumeration date
01/18/2007
Last updated
08/22/2020
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