| NPI | 1073991097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LYNN HERRERA Director 505-831-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 2216) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-07-21 |