| NPI | 1124059084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNTER GREENE Managing Member 505-450-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NM Applied For) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-07-21 |