Organization
LIFECARE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. F. ELAINE MONTANO CNP (OWNER)
(505) 989-3236
Entity
Organization
Contact information
Practice address
130 SIRINGO RD, SUITE 201, SANTA FE, NM 87505-5863
(505) 989-3236
(505) 989-5079
Mailing address
130 SIRINGO RD, SUITE 201, SANTA FE, NM 87505-5863
(505) 989-3236
(505) 989-5079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R27286
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679553457
PERSONAL NPI
NM
05
—
48728527
—
NM
Enumeration date
11/07/2006
Last updated
08/22/2020
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