NPI | 1982650933 |
---|---|
Doing Business As | SUNSHINE HAVEN AT LORDSBURG |
Entity Type | Organization |
Authorized Contact | WILLIAM A. MATHIES President/Director 505-821-3355 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NM 1034) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2020-08-22 |