NPI 1013004209

Thi of New Mexico at Sunset Villa, LLC

Organisation Skilled Nursing Facility Roswell, NM

Practice location

Address: 1515 S Sunset Ave, Roswell, NM 88203-2628
Phone: (505) 623-7097
Fax: (505) 624-1307
Mailing address: 930 Ridgebrook Rd, Sparks, MD 21152-9390

Authorised official

Name: Buffy Itomitsu
Title: President
Phone: (505) 623-7097

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in New Mexico →

Registry record

NPI: 1013004209
Entity type: Organization
NPI issued: 7 Oct 2006
Record last updated: 8 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.