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Organization
CASA ARENA BLANCA LLC
Active
Organization
CASA ARENA BLANCA LLC
Active
Other names
Casa Arena Blanca Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI KLINEDINST (PRESIDENT)
(505) 434-4510
Entity
Organization
Contact information
Practice address
205 MOONGLOW AVE, ALAMOGORDO, NM 88310-3339
(505) 434-4510
(505) 434-4513
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
—
49537539
—
NM
Enumeration date
10/07/2006
Last updated
05/14/2012
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