| NPI | 1649410861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET SURROCK Administrator 505-450-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 5730) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |