NPI 1043200454

Brookhaven Nursing Home

Organisation Nursing Facility/Intermediate Care Facility Las Vegas, NM

Practice location

Address: 813 4th St, Las Vegas, NM 87701-4422
Phone: (505) 425-9304
Fax: (505) 425-9305

Authorised official

Name: Victoria Aragon
Title: Manager of Operations
Phone: (505) 425-9304

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 1048 (NM)

Other Nursing Facility/Intermediate Care Facility providers in New Mexico →

Registry record

NPI: 1043200454
Entity type: Organization
NPI issued: 26 Oct 2005
Record last updated: 22 Aug 2020

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.