Brookhaven Nursing Home

NPI 1043200454 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1043200454
Enumeration Date 10/26/2005
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name VICTORIA VICTORIA
Position MANAGER OF OPERATIONS
Phone (505) 425-9304
Fax (505) 425-9305
Practice Location
813 4TH ST
LAS VEGAS NM, 87701-4422, US
Phone (505) 425-9304
Fax (505) 425-9305
Business Location
813 4TH ST
LAS VEGAS NM, 87701-4422, US
Phone (505) 425-9304
Fax (505) 425-9305
Toxanomy
Taxonomy Code 313M00000X
License State New Mexico
License Number 1048
Remove 1043200454 NPI Number
 

According to our database, Brookhaven Nursing Home NPI is 1043200454, taxonomy code is 313M00000X and license number is 1048, license state is located at New Mexico. Brookhaven Nursing Home physically located at 813 4th St, Las Vegas NM, 87701-4422. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1043200454 NPI number is provided on an as is basis without warranty of any kind. 1043200454 is maintained by the National Plan & Provider Enumeration System. The contents of Brookhaven Nursing Home are for informational purposes only.