| NPI | 1861632572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAVICE GORDON ARNOLD Owner 505-463-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 5733) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |