| NPI | 1457307407 |
|---|---|
| Doing Business As | COUNTRY COTTAGE CARE & REHAB |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. MATHIES President/Director 505-821-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NM 1017) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: NM 1017) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |