| NPI | 1508020975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA LOUISE SHONKWILER Assistant Administrator 575-762-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 5539) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2011-07-13 |