NPI | 1053397497 |
---|---|
Doing Business As | CLOVIS SWING BED SNF |
Entity Type | Organization |
Authorized Contact | MARK REIFSTECK Sr VP Chief Operating Officer 505-841-1392 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: NM 59304) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2020-08-22 |