NPI | 1114030624 |
---|---|
Doing Business As | REGIS WOODS |
Entity Type | Organization |
Authorized Contact | MICHAEL T BERG Assistant Secretary 505-468-4742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100503) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2016-08-19 |