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Juanita Correa
Nursing Home Administrator in Bernalillo, New Mexico
NPI 1710684980

Juanita Correa is a Nursing Home Administrator based in Bernalillo, NM. Juanita Correa practices in Bernalillo, NM. The NPI Number for Juanita Correa is 1710684980 and holds a License No. (New Mexico).

The current practice location address for Juanita Correa is 2 Dove Rd, Bernalillo, NM and can be reached out via phone at 505-771-6759.

Location: 2 Dove Rd, Bernalillo, NM, 87004-5906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710684980
Provider Name
Juanita Correa
Credential
Provider Entity Type
Individual
Gender
Female
Address
2 Dove Rd, Bernalillo, NM, 87004-5906
Phone Number
505-771-6759
Fax Number
Provider Enumeration Date
02/08/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
011803776 01 NM DL
institution
Provider Business Practice Location Address Details
Address
2 Dove Rd
City
Bernalillo
State
New Mexico
Zip
87004-5906
Phone Number
505-771-6759
Fax Number
person
Provider Business Mailing Address Details
Address
2 Dove Rd
City
Bernalillo
State
New Mexico
Zip
87004-5906
Phone Number
505-771-6759
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
()
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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