| NPI | 1386773398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE LYNN COOPER Financial Director 505-887-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NM 5036) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |