| 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 |