NPI | 1770515256 |
---|---|
Doing Business As | GOVERNOR'S HOUSE CARE AND REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM A. MATHIES President Director 505-821-3355 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2200-C) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2010-01-06 |