| NPI | 1194887687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T BERG Assistant Secretary 505-468-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 36320) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-03-06 |