LUNA DE COBRE THERAPY CENTER, LLC; NPI #1184949422

Contact Information

LUNA DE COBRE THERAPY CENTER, LLC

807 GRANT ST.
BAYARD, NM 88023

Phone: 575-590-2202
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Professional	101YP2500X

Indicates primary specialty

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NPI Profile & details for LUNA DE COBRE THERAPY CENTER, LLC

NPI Number 1184949422

LBN Legal business name LUNA DE COBRE THERAPY CENTER, LLC

Authorized official MARGARITA SILVA POTTS - (REGISTERED AGENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/30/2010

Last updated 03/30/2010 - About 16 years ago

Identifiers

License #

0101621

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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