Diamond Care Vida Encantada, LLC
NPI #1467760892 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1467760892
- Entity Type
- Organization
- Organization Name
- Diamond Care Vida Encantada, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 20, 2010
- Last Updated
- Mar 16, 2015
Practice Location
- Address
- 2301 COLLINS DR
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-4826
- Phone
- (505) 425-9362
Authorized Official
- Name
- MR. HARVEY PELOVSKY
- Title
- MANAGING PARTNER
- Phone
- (928) 978-0520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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