Coronado Care Center LLC
NPI #1225754955 in Portales, New Mexico
Provider Information
- NPI Number
- 1225754955
- Entity Type
- Organization
- Organization Name
- Coronado Care Center LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 14, 2022
- Last Updated
- Oct 14, 2022
Practice Location
- Address
- 1604 W 18TH ST
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130-7097
- Phone
- (575) 359-4719
Authorized Official
- Name
- DAVID GARETZ
- Title
- CFO
- Phone
- (323) 987-5954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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