WELLVANA NEW MEXICO LLC

NASHVILLE, TN
NPI1982308680
Entity TypeOrganization
Authorized ContactCATHERINE SMITH
VP Operations
860-501-7908
Organization Subpart ?Yes
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
WELLVANA NEW MEXICO LLC
20 BURTON HILLS BLVD STE 100
NASHVILLE, TN 37215-6409
Phone number: 860-501-7908
Mailing Address
WELLVANA NEW MEXICO LLC
40 BURTON HILLS BLVD STE 100
NASHVILLE, TN 37215-6291
Phone number:
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