| NPI | 1538191028 |
|---|---|
| Doing Business As | MADISON HOUSE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T BERG Assistant Secretary 505-468-4742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2201-C) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-10-20 |