| NPI | 1568943991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CRONIN Administrator 505-362-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 2281) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |