Organization
THI OF NEW MEXICO AT LAS CRUCES, LLC
Active
Other names
Las Cruces Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIE PEBSWORTH (PRESIDENT)
(505) 522-7000
Entity
Organization
Contact information
Practice address
2029 SAGECREST AVE, LAS CRUCES, NM 88011-8044
(505) 522-7000
(505) 522-8981
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03139018
—
NM
Enumeration date
10/07/2006
Last updated
03/11/2008
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