| NPI | 1215357728 |
|---|---|
| Doing Business As | BRACKENVILLE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. BERG Assistant Secretary 505-468-4742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2015-10-13 |