| Samaritan House, Inc. | |
|
220 Bernalillo St Las Vegas NM 87701-3442 | |
| (505) 454-1390 | |
| Not Available |
| Full Name | Samaritan House, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 220 Bernalillo St, Las Vegas, New Mexico |
| Authorized Official Name and Position | Sande Grano (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5054541390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan House, Inc. 220 Bernalillo St Las Vegas NM 87701-3442 Ph: (505) 454-1390 | Samaritan House, Inc. 220 Bernalillo St Las Vegas NM 87701-3442 Ph: (505) 454-1390 |
| NPI Number | 1780883702 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 07/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780883702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 01256 (New Mexico) | Primary |
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