| NPI | 1992140651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA YBARRA DOOLEY Owner 505-363-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NM 5855) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |