Gallup Nursing & Rehabilitation LLC
Skilled Nursing Facility in Gallup, NM. Organization (NPI-2).
NPI number1306520432
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1306520432
- Entity type
- Organization (NPI-2)
- Legal business name
- Gallup Nursing & Rehabilitation LLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2023
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Gallup Nursing & Rehabilitation (Doing Business As)
Practice location
306 E Nizhoni BlvdGallup, NM 87301-5794
Phone 505-863-9551 · Fax 505-863-1917
Mailing address
306 E Nizhoni BlvdGallup, NM 87301-5794
Phone 505-863-9551 · Fax 505-863-1917
Authorized official
David Garetz
Cfo
3239875954
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