| NPI | 1922479633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY WHITAKER Chief Operations Officer 505-369-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 02D453) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2016-06-13 |