Organization
1650 GALISTEO STREET OPERATIONS LLC
Active
Other names
Casa Real
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERG (SECRETARY)
(610) 925-2254
Entity
Organization
Contact information
Practice address
1650 GALISTEO ST, SANTA FE, NM 87505-4747
(505) 984-8313
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(505) 984-8313
(610) 612-5327
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NM
Other
Enumeration date
08/06/2018
Last updated
06/23/2025
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