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NPI Code Detail

MEDICARE: SILVER CITY NURSING OPERATIONS, LLC

MEDICARE: SILVER CITY NURSING OPERATIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1061NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457551913
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILVER CITY NURSING OPERATIONS, LLC
Provider Business Mailing Address
First Line : 306 W 7TH ST STE 415
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-4905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3514 N FOWLER AVE
Second Line :
City : SILVER CITY
State : NM
Zip : 88061-7210
Country : US
Telephone Number : 505-388-3127
Fax Number : 505-388-4061
Authorized Official
Title or Position : PRESIDENT
Name : CHARLES HARRINGTON
Credential :
Telephone Number : 817-335-4111
Provider Enumeration Date : 07/23/2007
Last Update Date : 02/11/2008

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Directions to “SILVER CITY NURSING OPERATIONS, LLC ” Practice Location

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