# CASA MARIA OF NEW MEXICO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Casa Maria Health Care Center and Pecos Valley Rehabilitation Suites
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881781060
- **Authorized official:** DANIEL BARBER (PRESIDENT)
- **Authorized official phone:** (505) 623-6008

## Contact information

- **Practice address:** 1601 S MAIN ST, ROSWELL, NM 88203-5436
- **Practice address phone:** (505) 623-6008
- **Practice address fax:** (505) 622-6651
- **Mailing address:** 920 RIDGEBROOK RD, SPARKS, MD 21152-9390
- **Mailing address phone:** (410) 773-1000

## Taxonomy

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

## Other

- **Enumeration date:** 10/07/2006
- **Last updated:** 05/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 46450840 | — | NM |