Autumn Blessings Assistd Living, LLC
NPI #1174675342 in Logan, New Mexico
Provider Information
- NPI Number
- 1174675342
- Entity Type
- Organization
- Organization Name
- Autumn Blessings Assistd Living, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 17, 2007
- Last Updated
- Oct 14, 2009
Practice Location
- Address
- 400 SUNSET
- City
- Logan
- State
- New Mexico
- ZIP Code
- 88426-9681
- Phone
- (575) 487-2300
Authorized Official
- Name
- MRS. KEN D WILLIS
- Title
- ADMINISTRATOR
- Phone
- (575) 487-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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