| NPI | 1164639027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN JAHNER CEO 505-988-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NM 5043) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |