Organization
EVERLASTING ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE M VILLEGAS (OWNER MANGER)
(575) 541-0551
Entity
Organization
Contact information
Practice address
6485 SEXTON LN, LAS CRUCES, NM 88012-6719
(575) 805-3394
Mailing address
145 W WILLOUGHBY AVE, LAS CRUCES, NM 88005-1822
(575) 805-3394
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
03164656005
NM
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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