Haciendas at Grace Village, LLC
NPI #1285156356 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1285156356
- Entity Type
- Organization
- Organization Name
- Haciendas at Grace Village, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 11, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2802 CORTE DIOS
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-8140
- Phone
- (575) 524-1020
Authorized Official
- Name
- GARY COPPEDGE
- Title
- CEO
- Phone
- (575) 524-1020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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