NPI | 1982314605 |
---|---|
Doing Business As | LAURELDALE SKILLED NURSING AND REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL T BERG Asst Secretary 505-468-4742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2022-12-05 |
Last Update Date | 2023-01-06 |