NPI | 1528240090 |
---|---|
Doing Business As | WOODSIDE 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 15-006) |
Enumeration Date | 2007-11-27 |
Last Update Date | 2016-01-08 |