Healthcare Provider Details
I. General information
NPI: 1316376007
Provider Name (Legal Business Name): HOBBS OPERATING COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2013
Last Update Date: 04/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5715 N LOVINGTON HWY
HOBBS NM
88240-9131
US
IV. Provider business mailing address
5715 N LOVINGTON HWY
HOBBS NM
88240-9131
US
V. Phone/Fax
- Phone: 575-392-6845
- Fax:
- Phone: 575-392-6845
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KELLE
C
SANTORO
Title or Position: SR DIRECTOR AR
Credential:
Phone: 832-467-5728