| NPI | 1356663298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORLYNN SIMMONS CEO 575-464-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CO 107572) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |