| NPI | 1902022130 |
|---|---|
| Other Name | VILLA GUADALUPE |
| Entity Type | Organization |
| Authorized Contact | MARY THOMAS D'MELLO Director 505-863-6894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 5119) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |