| NPI | 1720038854 |
|---|---|
| Doing Business As | MESA MANOR CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T BERG Assistant Secretary 505-821-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0478) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-12-21 |