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Organization

TRANSITION HEALTH SERVICES-VIDA ENCANTADA, LLC

Active
Other names
Vida Encantada Nursing and Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHANA SHELTON (CHIEF FINANCIAL OFFICER)
(940) 464-7018
Entity
Organization

Contact information

Practice address
2301 COLLINS DR, LAS VEGAS, NM 87701-4826
(505) 425-9362
(505) 425-5414
Mailing address
415 HIGHWAY 377 S, SUITE 200, ARGYLE, TX 76226-5140
(940) 464-7010
(940) 464-7011

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
05/12/2010
Last updated
05/12/2010
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