| NPI | 1063294627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M. SPROULE Owner Partner / Operator 505-302-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |