| NPI | 1144331216 |
|---|---|
| Doing Business As | MAGNOLIA VILLAGE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T BERG Assistant Secretary 505-821-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-08-25 |