Organization
SOUTH VALLEY CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUNTER GREENE (MANAGING MEMBER)
(505) 450-5612
Entity
Organization
Contact information
Practice address
1629 BOWE LN SW, ALBUQUERQUE, NM 87105-3772
(505) 877-2200
(505) 877-4654
Mailing address
2155 LOUISIANA BLVD NE, SUITE 10200, ALBUQUERQUE, NM 87110-5409
(505) 881-0979
(505) 881-1189
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
APPLIED FOR
NM
Other
Enumeration date
07/06/2006
Last updated
07/21/2022
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