BELLALUNA LIL LIGHT LLC/DBA MOUNTAIN GRIT WELLNESS LLC

MAYHILL, NM
NPI1336959667
Doing Business AsMOUNTAIN GRIT WELLNESS
Entity TypeOrganization
Authorized ContactSHARLENE E. ROGERS
Owner/Manager/Provider
575-491-2310
Organization Subpart ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Additional Taxonomies163WI0500X Registered Nurse, Infusion Therapy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2025-01-09
Last Update Date2025-01-09
Business Address
BELLALUNA LIL LIGHT LLC/DBA MOUNTAIN GRIT WELLNESS LLC
3496 US HIGHWAY 82
MAYHILL, NM 88339
Phone number: 575-687-4232
Mailing Address
BELLALUNA LIL LIGHT LLC/DBA MOUNTAIN GRIT WELLNESS LLC
PO BOX 22
MAYHILL, NM 88339-0022
Phone number: 575-491-2310