Organization
CASA ARENA BLANCA LLC
Active
Other names
Casa Arena Blanca Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI KLINEDINST (PRESIDENT)
(505) 434-4510
Entity
Organization
Contact information
Practice address
205 MOONGLOW AVE, ALAMOGORDO, NM 88310-3339
(505) 434-4510
(505) 434-4513
Mailing address
920 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
—
49537539
—
NM
Enumeration date
10/07/2006
Last updated
05/14/2012
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