NPI | 1013967132 |
---|---|
Doing Business As | ELMS HAVEN CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL T BERG Authorized Official 505-468-4742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0247) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2021-11-08 |