| NPI | 1881640860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A MATHIES President Director 505-821-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH6309-6309) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-10-15 |