NPI | 1982886636 |
---|---|
Doing Business As | HILLSIDE CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL T BERG Assistant Secretary 505-468-4742 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: DE 1070) |
Enumeration Date | 2007-12-04 |
Last Update Date | 2020-04-09 |