Organization
SF HEALTH FACILITIES - CASA REAL LP
Active
Other names
Casa Real
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE L COLLIER (DIRECTOR OF REIMBURSEMENT)
(972) 931-3800
Entity
Organization
Contact information
Practice address
1650 GALISTEO ST, SANTA FE, NM 87505-4747
(505) 984-8313
(505) 984-2542
Mailing address
5420 W PLANO PKWY, PLANO, TX 75093-4823
(972) 931-3800
(972) 767-6222
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1088
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73354872
—
NM
Enumeration date
10/23/2012
Last updated
08/19/2015
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