| NPI | 1427608264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA LUZ ANCHONDO Owner/Provider 915-433-8134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |