# DIAMOND CARE SANTA FE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diamond Care Santa Fe Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093280281
- **Authorized official:** MR. MATTHEW MEYER (OWNER OPERATOR)
- **Authorized official phone:** (480) 652-5628

## Contact information

- **Practice address:** 635 HARKLE ROAD, SANTA FE, NM 87505
- **Practice address phone:** (505) 982-2574
- **Practice address fax:** (505) 988-1942
- **Mailing address:** 807 W. LONGHORN RD., PAYSON, AZ 85541
- **Mailing address phone:** (928) 978-0520
- **Mailing address fax:** (928) 474-0505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2018
- **Last updated:** 12/03/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 22757279 | — | NM |