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Organization
CASA MARIA OF NEW MEXICO LLC
Active
Organization
CASA MARIA OF NEW MEXICO LLC
Active
Other names
Casa Maria Health Care Center and Pecos Valley Rehabilitation Suites
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BARBER (PRESIDENT)
(505) 623-6008
Entity
Organization
Contact information
Practice address
1601 S MAIN ST, ROSWELL, NM 88203-5436
(505) 623-6008
(505) 622-6651
Mailing address
920 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46450840
—
NM
Enumeration date
10/07/2006
Last updated
05/14/2012
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