| NPI | 1881641389 |
|---|---|
| Former Legal Business Name | CUMBERLAND VILLAGE CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS DIVITTORIO President Director 505-821-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 00000019) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 00000019) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2018-08-17 |