Organization
LIFE QUEST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE CALDERA (ACCOUNTING CLERK)
(505) 388-1976
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
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D1036
—
NM
Enumeration date
04/03/2007
Last updated
08/22/2020
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