Organization
THI OF NEW MEXICO AT VALLE NORTE, LLC
Active
Other names
Valle Norte Caring Center
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY MELTON (PRESIDENT)
(505) 823-1885
Entity
Organization
Contact information
Practice address
8820 HORIZON BLVD NE, ALBUQUERQUE, NM 87113-1689
(505) 823-1885
(505) 857-0531
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77106709
—
NM
Enumeration date
10/07/2006
Last updated
03/11/2008
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