| NPI | 1932391745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. BERG Assistant Secretary 505-468-4752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NM 1067) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2017-11-08 |