| NPI | 1053446849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE LINDEMUTH Director 505-865-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NM 5399) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2024-04-23 |