| NPI | 1477212876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN MARIE VALENCIA Owner 505-610-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |