Organization
LIFE CIRCLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA VANMERKESTYN (DIRECTOR)
(505) 418-1300
Entity
Organization
Contact information
Practice address
1800 ESPINACITAS ST STE A, SANTA FE, NM 87505-4331
(505) 418-1300
Mailing address
1800 ESPINACITAS ST STE A, SANTA FE, NM 87505-4331
(505) 418-1300
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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