| NPI | 1619137650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L FERGUSON Administrator 505-842-1972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 5544) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |