| NPI | 1255387734 |
|---|---|
| Doing Business As | CASA REAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. MATHIES President/Director 505-821-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: NM 1026) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NM 1026) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |