| NPI | 1093769408 |
|---|---|
| Doing Business As | CLIPPER HARBOR |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERG Assistant Secretary 505-468-4742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH 02450) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NH 02453) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: NH 02450) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NH 02450) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-08-17 |