| NPI | 1568402295 |
|---|---|
| Doing Business As | LAKE RIDGE SOLANA ALZHEIMER'S CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERG Assistant Secretary 505-821-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA NH1152) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: WA NH1152) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-07-13 |