| NPI | 1093926297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY GORDON President 505-524-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NM o6cb19334) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2020-08-22 |