NPI 1467549659

Thi of New Mexico at Vida Encantada, LLC

Organisation Skilled Nursing Facility Las Vegas, NM

Practice location

Address: 2301 Collins Dr, Las Vegas, NM 87701-4826
Phone: (505) 425-9362
Fax: (505) 425-3152
Mailing address: 930 Ridgebrook Rd, Sparks, MD 21152-9390

Authorised official

Name: Sharon Inoue
Title: President
Phone: (505) 425-9362

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in New Mexico →

Registry record

NPI: 1467549659
Entity type: Organization
NPI issued: 7 Oct 2006
Record last updated: 11 Mar 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.