| NPI | 1518172915 |
|---|---|
| Other Name | FRATERNAL ORDER OF KNIGHTS TEMPLAR (FOKT) |
| Entity Type | Organization |
| Authorized Contact | PATRICIA ROMERO CEO 505-424-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2023-07-22 |