| NPI | 1508228826 |
|---|---|
| Doing Business As | WILLOW WOOD |
| Entity Type | Organization |
| Authorized Contact | JOHN KALTENBACH President 505-856-8553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 2292) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |