| NPI | 1811251267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL H MCDOWELL Administrative RN/Owner 505-908-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 1P2209) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-08-13 |