CCN: 325059 NPI: 1023369949 Organization

ESPANOLA VALLEY NURSING AND REHAB

720 E HACIENDA ST
ESPANOLA, NM 875322523

Contact Information

Phone 5057536769
Fax 5057471589
Enumeration Date 2012-10-02
Last Updated 2015-08-19

Taxonomies

Code: 314000000X (Primary) License State: NM License: 1095

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

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Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

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providerType 38

specialPaymentIndicator

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