# DEL ROSA VILLAIDENCE OPCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Del Rosa Villa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134527500
- **Authorized official:** JOHN MITCHELL (SECRETARY)
- **Authorized official phone:** (385) 988-3319

## Contact information

- **Practice address:** 2018 DEL ROSA AVE, SAN BERNARDINO, CA 92404-5642
- **Practice address phone:** (909) 885-3261
- **Practice address fax:** (909) 888-3871
- **Mailing address:** 262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2014
- **Last updated:** 08/19/2024