| NPI | 1285856286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE REEVES Administrator 505-463-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 2109) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |