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Organization

ST. ANTHONY HEALTHCARE AND REHABILITATION CENTER, LLC

Active
Parent organization
SUMMIT CARE LLC
Other names
St. Anthony Healthcare and Rehabilitation Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUMMIT CARE LLC
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization

Contact information

Practice address
1400 W 21ST ST, CLOVIS, NM 88101-4153
(575) 762-4705
(575) 762-4199
Mailing address
1400 W 21ST ST, CLOVIS, NM 88101-4153
(575) 762-4705
(575) 762-4199

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1072
NM

Other

Enumeration date
08/13/2007
Last updated
01/26/2016
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