| NPI | 1093928434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J WITT Managing Member 505-797-8735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 5831) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |