Organization
DIAMOND CARE SANTA FE LLC
Active
Other names
Diamond Care Santa Fe Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW MEYER (OWNER OPERATOR)
(480) 652-5628
Entity
Organization
Contact information
Practice address
635 HARKLE ROAD, SANTA FE, NM 87505
(505) 982-2574
(505) 988-1942
Mailing address
807 W. LONGHORN RD., PAYSON, AZ 85541
(928) 978-0520
(928) 474-0505
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22757279
—
NM
Enumeration date
10/04/2018
Last updated
12/03/2018
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