Organization
SILVERSTONE HEALTHCARE OF BLOOMFIELD, LLC
Active
Other names
Bloomfield Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A. MATHIES (PRESIDENT/DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
803 HACIENDA LN, BLOOMFIELD, NM 87413-5109
(505) 632-1823
(505) 632-4572
Mailing address
101 SUN AVE NE, ALBUQUERQUE, NM 87109-4373
(505) 821-3355
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1036
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35121301
—
NM
Enumeration date
05/24/2006
Last updated
08/22/2020
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