| NPI | 1447487731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE M VILLEGAS Owner Manger 575-541-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 03164656005) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |