| NPI | 1851345417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. MATHIES President Director 505-821-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ID 53) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2009-09-28 |