Organization
DIAMOND CARE VIDA ENCANTADA, LLC
Active
Other names
Vidan Encantada Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARVEY PELOVSKY (MANAGING PARTNER)
(928) 978-0520
Entity
Organization
Contact information
Practice address
2301 COLLINS DR, LAS VEGAS, NM 87701-4826
(505) 425-9362
(505) 425-8518
Mailing address
2301 COLLINS DR, LAS VEGAS, NM 87701-4826
(505) 425-9362
(505) 425-8518
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
03/16/2015
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