| NPI | 1710458997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNIKKA AYEASHA CLARK Community Relations Director 505-717-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-17 |