Provider Demographics
NPI:1386809473
Name:LESSONS OF LIFE, LLC
Entity type:Organization
Organization Name:LESSONS OF LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-635-3675
Mailing Address - Street 1:5025 MEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007-5617
Mailing Address - Country:US
Mailing Address - Phone:575-635-3675
Mailing Address - Fax:575-541-9082
Practice Address - Street 1:5025 MEADOW CIR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007-5617
Practice Address - Country:US
Practice Address - Phone:575-635-3675
Practice Address - Fax:575-541-9082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM46528083Medicaid