# RIO AT RUST CENTRE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Rio at Cabezon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619371200
- **Authorized official:** DENNIS WARD (VP OF DEVELOPMENT)
- **Authorized official phone:** (505) 501-7563

## Contact information

- **Practice address:** 2410 19TH ST SE, RIO RANCHO, NM 87124-4857
- **Practice address phone:** (505) 452-4200
- **Practice address fax:** (505) 242-4401
- **Mailing address:** 2410 19TH ST SE, RIO RANCHO, NM 87124-4857
- **Mailing address phone:** (505) 452-4200
- **Mailing address fax:** (505) 242-4401

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2014
- **Last updated:** 11/06/2015