| NPI | 1902844921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A MATHIES President Director 505-821-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2036-C) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2009-12-29 |