| NPI | 1063993244 |
|---|---|
| Other Name | MIGUEL F. LEYVA |
| Other Name | MINERVA SUSTAITA |
| Entity Type | Organization |
| Authorized Contact | MINERVA SUSTAITA Owner 915-519-5735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-26 |