419 Harding Street Operation LLC
NPI #1730668880 in Clayton, New Mexico
Provider Information
- NPI Number
- 1730668880
- Entity Type
- Organization
- Organization Name
- 419 Harding Street Operation LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 9, 2018
- Last Updated
- Jun 23, 2025
Practice Location
- Address
- 419 HARDING ST
- City
- Clayton
- State
- New Mexico
- ZIP Code
- 88415-3323
- Phone
- (575) 374-2353
Authorized Official
- Name
- MICHAEL BERG
- Title
- SECRETARY
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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