Provider Demographics
NPI:1215566187
Name:ENMRSH, INC.
Entity Type:Organization
Organization Name:ENMRSH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT & CFO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-762-1223
Mailing Address - Street 1:PO BOX 1989
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88102-1989
Mailing Address - Country:US
Mailing Address - Phone:575-762-3718
Mailing Address - Fax:575-742-9000
Practice Address - Street 1:2700 E 7TH ST
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101-1708
Practice Address - Country:US
Practice Address - Phone:575-762-3718
Practice Address - Fax:575-742-9000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency