# PALOMA BLANCA HEALTH CARE ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paloma Blanca Health and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134167679
- **Authorized official:** CATHERINE M. PANNELL (MANAGER)
- **Authorized official phone:** (505) 243-2257

## Contact information

- **Practice address:** 1509 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1708
- **Practice address phone:** (505) 243-2257
- **Practice address fax:** (505) 247-1784
- **Mailing address:** 1509 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1708
- **Mailing address phone:** (505) 243-2257
- **Mailing address fax:** (505) 247-1784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1076 | NM | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 06/09/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 021218915 | — | NM |
| 05 | — | 7103233 | — | NM |
| 05 | — | 96323795 | — | NM |