| NPI | 1770616591 |
|---|---|
| Former Legal Business Name | SUNSET VISTA ADULT RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | ALTON RAY SIRCY Vice President 505-538-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 5563) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2017-07-20 |