175 N Roadrunner Parkway LLC
NPI #1144902727 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1144902727
- Entity Type
- Organization
- Organization Name
- 175 N Roadrunner Parkway LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 3, 2023
- Last Updated
- Aug 3, 2023
Practice Location
- Address
- 175 N ROADRUNNER PKWY
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-8090
- Phone
- (575) 386-5800
Authorized Official
- Name
- MICHAEL BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (610) 444-6350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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