Laguna Rainbow Corporation
NPI #1316926041 in Casa Blanca, New Mexico
Provider Information
- NPI Number
- 1316926041
- Entity Type
- Organization
- Organization Name
- Laguna Rainbow Corporation
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 11, 2006
- Last Updated
- Mar 7, 2011
Practice Location
- Address
- I-40, EXIT 108
- Address 2
- 1/2 MILE SOUTH STATE ROAD 23
- City
- Casa Blanca
- State
- New Mexico
- ZIP Code
- 87007-0490
- Phone
- (505) 552-6034
Authorized Official
- Name
- MS. MARY KORETKE
- Title
- DIRECTOR OF REIMBURSEMENT
- Phone
- (303) 987-3088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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