NPI | 1063459501 |
---|---|
Doing Business As | MISSOURI RIVER CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL T. BERG Assistant Secretary 505-468-4752 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 12680) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2016-05-17 |