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Organization
LAGUNA RAINBOW CORPORATION
Active
Organization
LAGUNA RAINBOW CORPORATION
Active
Other names
Laguna Rainbow Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY KORETKE (DIRECTOR OF REIMBURSEMENT)
(303) 987-3088
Entity
Organization
Contact information
Practice address
I-40, EXIT 108, 1/2 MILE SOUTH STATE ROAD 23, CASA BLANCA, NM 87007-0490
(505) 552-6034
(505) 552-7645
Mailing address
PO BOX 490, CASA BLANCA, NM 87007-0490
(505) 552-6034
(505) 552-7645
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5063
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
I0365
—
NM
Enumeration date
01/11/2006
Last updated
03/07/2011
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