NPI | 1679573778 |
---|---|
Former Legal Business Name | INTERFACE INC. |
Entity Type | Organization |
Authorized Contact | RICKY D. WALLACE Executive Director 505-609-6110 |
Organization Subpart ? | Yes |
Primary Taxonomy | 283X00000X Rehabilitation Hospital |
Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: NM 6578) |
Enumeration Date | 2005-07-29 |
Last Update Date | 2022-07-21 |