| NPI | 1528059011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN SCHULTZ Administrator 505-762-4495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NM 5092) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-08-22 |