NPI | 1336196484 |
---|---|
Doing Business As | OLIVE VISTA, CTR FOR PROBLEMS OF LVGS |
Entity Type | Organization |
Authorized Contact | MICHAEL BERG Assistant Secretary 505-468-4742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 950000080) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2015-07-13 |