| NPI | 1083088959 |
|---|---|
| Doing Business As | THE LODGE AT BEAR CREEK |
| Entity Type | Organization |
| Authorized Contact | KELLEY WHITAKER Chief Operations Officer 505-369-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2016-08-22 |