| NPI | 1073584579 |
|---|---|
| Doing Business As | MIMBRES MEMORIAL NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | RANDY MICHAEL COOPER SVP Finance Op/Authorized Official 615-221-3840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NM 5158) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-08-11 |