Cielito Lindo Waiver Services, LLC
Contractor in Santa Fe, NM. Organization (NPI-2).
NPI number1316638232
StatusActive
Last updated in NPPESMay 19, 2023
Details
- NPI
- 1316638232
- Entity type
- Organization (NPI-2)
- Legal business name
- Cielito Lindo Waiver Services, LLC
- Organization subpart
- No
- Enumeration date
- May 19, 2023
- Certification date
- May 19, 2023
- Last updated
- May 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Other names
- Cielo Lindo (Former Legal Business Name)
Practice location
2327 Calle ReinaSanta Fe, NM 87507-6909
Phone 505-920-6031
Mailing address
2327 Calle ReinaSanta Fe, NM 87507-6909
Phone 505-920-6031
Authorized official
Pedro Gonzalez
Director
5059206031
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