Organization
ENMRSH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIAN HOUFEK (PRESIDENT & C.E.O.)
(575) 762-3718
Entity
Organization
Contact information
Practice address
2700 E 7TH ST, CLOVIS, NM 88101-1708
(575) 762-3718
(575) 763-4158
Mailing address
2700 E 7TH ST, CLOVIS, NM 88101-1708
(575) 762-3718
(575) 763-4158
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E2543
—
NM
Enumeration date
08/31/2016
Last updated
08/31/2016
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