NPI | 1356663298 |
---|---|
Entity Type | Organization |
Authorized Contact | DORLYNN SIMMONS CEO 575-464-4441 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CO 107572) |
Enumeration Date | 2010-02-19 |
Last Update Date | 2010-02-19 |