Healthcare Provider Details

I. General information

NPI: 1821425745
Provider Name (Legal Business Name): SUNFLOWER OF NEW MEXICO ADULT DAY HAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2013
Last Update Date: 10/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 E LOHMAN AVE
LAS CRUCES NM
88001-3374
US

IV. Provider business mailing address

605 E LOHMAN AVE
LAS CRUCES NM
88001-3374
US

V. Phone/Fax

Practice location:
  • Phone: 575-524-0615
  • Fax: 575-524-1406
Mailing address:
  • Phone: 575-524-0615
  • Fax: 575-524-1406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAMON A TORRES
Title or Position: DIRECTOR
Credential: MHA
Phone: 575-524-0615