| NPI | 1023317930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA S. ENTEZARI President 505-450-4463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 5719) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |