| NPI | 1487430658 |
|---|---|
| Doing Business As | WILLOW MANOR |
| Entity Type | Organization |
| Authorized Contact | BASSAM HOMSI Owner 575-544-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |