| NPI | 1669952982 |
|---|---|
| Doing Business As | MESA CHRISTIAN RESIDENTIAL CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERG Assistant Secretary 505-468-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |