| NPI | 1023672516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FRANCIS ALMOND Accounting Manager 505-332-6832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-12-23 |