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BROOKHAVEN NURSING HOME

Nursing/Intermediate Care Facility

Las Vegas, New Mexico

Provider NPI: 1043200454

Organization Information:
Organization Name:  BROOKHAVEN NURSING HOME


Practice Location:
813 4TH ST  LAS VEGAS, NM 87701 US
Tel: 505-425-9304  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
NM1048

Other Provider Identifiers:

IssuerNumberStateType
75509083NM05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




NURSING CARE JOBS NM - Page 1



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