| NPI | 1730192840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE LOUISE BAWDEN Nurse Manager 505-265-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NM R24940) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |