# TAOS LIVING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093829293
- **Authorized official:** PAUL REID (ADMINISTRATOR)
- **Authorized official phone:** (575) 758-2300

## Contact information

- **Practice address:** 1340 MAESTAS RD, TAOS, NM 87571-6263
- **Practice address phone:** (575) 758-2300
- **Practice address fax:** (575) 758-3081
- **Mailing address:** 1340 MAESTAS RD, TAOS, NM 87571-6263
- **Mailing address phone:** (575) 758-2300
- **Mailing address fax:** (575) 758-3081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 02309620009 | NM | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 08/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | I1322 | — | NM |
