| NPI | 1821043621 |
|---|---|
| Doing Business As | DEER LODGE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. BERG Assistant Secretary 505-468-4752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 12681) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2016-05-17 |