| La Puente Home Inc | |
|
911 State Ave Alamosa CO 81101-3141 | |
| (719) 588-0779 | |
| Not Available |
| Full Name | La Puente Home Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 911 State Ave, Alamosa, Colorado |
| Authorized Official Name and Position | Judy Mcneilsmith (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7195880779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Puente Home Inc 911 State Ave Alamosa CO 81101-3141 Ph: () - | La Puente Home Inc 911 State Ave Alamosa CO 81101-3141 Ph: (719) 588-0779 |
| NPI Number | 1790528479 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790528479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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