Organization · Type 2 NPI

2905 Missouri Avenue Opco, LLC

Skilled Nursing Facility · Las Cruces, NM

NPI number 1508712282 Active

Practice location

2905 Missouri Ave
Las Cruces, NM 88011-4813

Mailing address

9526 W Pico Blvd
Los Angeles, CA 90035-1202

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1508712282

2905 Missouri Avenue Opco, LLC's National Provider Identifier is 1508712282, issued on Mar 6, 2026. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Las Cruces, NM. The record was last updated on Oct 20, 2026.