Organization
FIESTA PARK WELLNESS & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GARETZ (CFO)
(323) 987-5954
Entity
Organization
Contact information
Practice address
8820 HORIZON BLVD NE, ALBUQUERQUE, NM 87113-1689
(505) 998-9868
(505) 944-7090
Mailing address
8820 HORIZON BLVD NE, ALBUQUERQUE, NM 87113-1689
(505) 998-9868
(505) 944-7090
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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