| NPI | 1194772939 |
|---|---|
| Doing Business As | THE VILLAGE AT NORTHRISE-DESERT WILLOW I |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERG Assistant Secretary 505-468-4752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NM 5841) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NM 5788) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: NM 5789) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-11-27 |