NPI | 1942255880 |
---|---|
Doing Business As | SAN JUAN CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL BERG Assistant Secretary 505-468-4752 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NM 1042) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2017-03-17 |