Organization
PALOMA BLANCA HEALTH CARE ASSOCIATES, LLC
Active
Other names
Paloma Blanca Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE M. PANNELL (MANAGER)
(505) 243-2257
Entity
Organization
Contact information
Practice address
1509 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1708
(505) 243-2257
(505) 247-1784
Mailing address
1509 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1708
(505) 243-2257
(505) 247-1784
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1076
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021218915
—
NM
05
—
7103233
—
NM
05
—
96323795
—
NM
Enumeration date
06/04/2006
Last updated
06/09/2016
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