NPI | 1598719312 |
---|---|
Doing Business As | PUEBLO CENTER |
Doing Business As | PUEBLO CARE AND REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL T. BERG VP Assistant Secretary 505-468-4742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0485) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2021-07-08 |