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Organization
MANOR ESTATES INC
Active
Organization
MANOR ESTATES INC
Active
Other names
Princeton Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY N MILAM (GENERAL PARTNER)
(318) 255-1514
Entity
Organization
Contact information
Practice address
500 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87108-2051
(505) 255-1717
(505) 255-5188
Mailing address
105 N TRENTON ST, RUSTON, LA 71270-4321
(318) 255-1514
(318) 255-1517
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5019
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
I0001
—
NM
Enumeration date
07/23/2006
Last updated
11/21/2007
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