| NPI | 1588611297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAMS A. MATHIES President Director 505-821-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 230000054) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-04-13 |