| NPI | 1518012491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ELAINE DAWSON Owner Administrator 505-994-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 2040) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-09-10 |