| NPI | 1215125414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENO KOEHLER General Manager 505-428-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 2102) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |