| NPI | 1215061684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARY PFEIFER Owner Member 505-890-8187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 5264) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |