| NPI | 1356396048 |
|---|---|
| Doing Business As | SOUTH PARK CARE AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. MATHIES President Director 505-821-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH55325532) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: OK NH55325532) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-09-28 |