| NPI | 1770722506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE K. SKELLEY Member 575-273-4204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 2099) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |