| NPI | 1568870525 |
|---|---|
| Doing Business As | RAVENNA ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | CAREN M PHILLIPS Administrator 505-850-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 2252) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |