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 |