NPI | 1487962536 |
---|---|
Doing Business As | FAIRLAND CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL T. BERG Assistant Secretary 505-468-4752 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 15-012) |
Enumeration Date | 2010-09-22 |
Last Update Date | 2019-08-29 |