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Organization
3720 CHURCH ROCK STREET OPERATIONS LLC
Active
Organization
3720 CHURCH ROCK STREET OPERATIONS LLC
Active
Other names
Red Rocks Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
3720 CHURCH ROCK ST, GALLUP, NM 87301-4572
(505) 722-2261
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-2254
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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