| NPI | 1255386173 |
|---|---|
| Doing Business As | WHITEFISH CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. BERG Assistant Secretary 505-468-4752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 12679) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 12679) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2017-09-26 |