NPI | 1801931845 |
---|---|
Doing Business As | MOUNTAIN VILLA NURSING CENTER |
Entity Type | Organization |
Authorized Contact | DONOVAN J RIVERA Administrator 915-566-2111 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 118223) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2025-04-16 |