Organization
SILVERSTONE HEALTHCARE OF LORDSBURG, LLC
Active
Other names
Sunshine Haven At Lordsburg
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A. MATHIES (PRESIDENT/DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
603 HADECO, LORDSBURG, NM 88045-1834
(505) 542-3539
(505) 542-8131
Mailing address
101 SUN AVE NE, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1034
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72404558
—
NM
Enumeration date
05/25/2006
Last updated
08/22/2020
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