Organization
COMPLETE CARE 514 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HURST (CO-OWNER)
(575) 627-5571
Entity
Organization
Contact information
Practice address
109 W BLAND ST, ROSWELL, NM 88203-5708
(575) 627-5571
(575) 627-5721
Mailing address
PO BOX 2462, ROSWELL, NM 88202-2462
(575) 627-5571
(575) 627-5721
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/08/2014
Last updated
08/26/2014
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