| NPI | 1972620631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID COCKERHAM Superintendent 505-753-2254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NM RN # R39189) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |