| NPI | 1770633562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL G BUSHNELL President 505-792-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 2069) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-09-03 |