| NPI | 1366859001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS FIGUEROA Administrator/Owner 505-203-8695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 2229) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |