La Casa De Buena Salud INC
NPI #1205957487 in Hondo, New Mexico
Provider Information
- NPI Number
- 1205957487
- Entity Type
- Organization
- Organization Name
- La Casa De Buena Salud INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 103 DON PABLO LANE
- City
- Hondo
- State
- New Mexico
- ZIP Code
- 88336
- Phone
- (505) 653-4830
Authorized Official
- Name
- SEFERINO M MONTANO
- Title
- CEO
- Phone
- (505) 356-6695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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