| NPI | 1043200454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ARAGON Manager Of Operations 505-425-9304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NM 1048) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-08-22 |