| NPI | 1831585413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE DACOSTA Administrator/Caregiver 505-771-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 1T2271) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |