Organization
LOVELACE HEALTH SYSTEM LLC
Active
Parent organization
ARDENT LEGACY HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENT LEGACY HOLDINGS, LLC
Authorized official
STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
129-A CANAL STREET, JEMEZ PUEBLO, NM 87024
(575) 834-9168
(575) 834-0238
Mailing address
1 BURTON HILLS BLVD, SUITE 250, NASHVILLE, TN 37215-6293
(615) 296-3000
(615) 296-6011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
05/29/2019
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