Organization
TAOS LIVING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL REID (ADMINISTRATOR)
(575) 758-2300
Entity
Organization
Contact information
Practice address
1340 MAESTAS RD, TAOS, NM 87571-6263
(575) 758-2300
(575) 758-3081
Mailing address
1340 MAESTAS RD, TAOS, NM 87571-6263
(575) 758-2300
(575) 758-3081
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02309620009
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
I1322
—
NM
Enumeration date
08/18/2006
Last updated
08/22/2013
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