| NPI | 1518912880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A MATHIES President Director 505-821-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH41064106) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-12-19 |