| NPI | 1467760892 |
|---|---|
| Doing Business As | VIDAN ENCANTADA NURSING AND REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | HARVEY PELOVSKY Managing Partner 928-978-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2015-03-16 |