Organization
LIFE QUEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVANGELINE HOLGUIN ZAMORA (CEO)
15053881976
Entity
Organization
Contact information
Practice address
907 N POPE ST, SILVER CITY, NM 88061-5150
(505) 388-1976
(505) 538-2339
Mailing address
907 N POPE ST, SILVER CITY, NM 88061-5150
(505) 388-1976
(505) 538-2339
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NM
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00099657
—
NM
Enumeration date
03/19/2007
Last updated
08/09/2007
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