| NPI | 1609816206 |
|---|---|
| Former Legal Business Name | MESCALERO CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MERLENE KAYDAHZINNE Administrator 575-464-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NM 2026) |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NM 3127) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2018-11-27 |