1660 Hospital Drive Operations LLC
NPI #1417514423 in Raton, New Mexico
Provider Information
- NPI Number
- 1417514423
- Entity Type
- Organization
- Organization Name
- 1660 Hospital Drive Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 24, 2019
- Last Updated
- May 24, 2019
Practice Location
- Address
- 1660 HOSPITAL DR
- City
- Raton
- State
- New Mexico
- ZIP Code
- 87740-2022
- Phone
- (610) 925-2254
Authorized Official
- Name
- MICHAEL BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (484) 356-4846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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