Provider Demographics
NPI:1801108683
Name:TAOS SENIOR LIVING MANAGERS LLC
Entity type:Organization
Organization Name:TAOS SENIOR LIVING MANAGERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GABRIELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-643-5030
Mailing Address - Street 1:414 CAMINO DE LA PLACITA
Mailing Address - Street 2:
Mailing Address - City:TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87571-6191
Mailing Address - Country:US
Mailing Address - Phone:575-758-8248
Mailing Address - Fax:
Practice Address - Street 1:414 CAMINO DE LA PLACITA
Practice Address - Street 2:
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571-6191
Practice Address - Country:US
Practice Address - Phone:575-758-8248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAOS SENIOR LIVING PARTNERS LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility