NPI | 1356398853 |
---|---|
Doing Business As | PRESIDENTIAL CENTER |
Entity Type | Organization |
Authorized Contact | THOMAS DIVITTORIO President Director 505-821-3355 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 5686) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 5686) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2015-07-13 |