Organization
AUTUMN BLESSINGS ASSISTD LIVING, LLC
Active
Other names
Autumn Blessings Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEN D WILLIS (ADMINISTRATOR)
(575) 487-2300
Entity
Organization
Contact information
Practice address
400 SUNSET, LOGAN, NM 88426-9681
(575) 487-2300
(575) 487-2302
Mailing address
400 SUNSET, LOGAN, NM 88426-9681
(575) 487-2300
(575) 487-2302
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5869
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D3293
—
NM
Enumeration date
01/17/2007
Last updated
10/14/2009
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