| NPI | 1952506776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES LUCIA JOHNSON Owner 505-865-0876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 2039) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |