# ROSALITA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174859136
- **Authorized official:** DR. FERAL A MACLOUD DOM (DOCTOR OF ORIENTAL MEDICINE)
- **Authorized official phone:** (505) 204-1239

## Contact information

- **Practice address:** 518 OLD SANTA FE TRL \# 171, SANTA FE, NM 87505-0398
- **Practice address phone:** (505) 204-1239
- **Mailing address:** 518 OLD SANTA FE TRL \# 171, SANTA FE, NM 87505-0398
- **Mailing address phone:** (505) 204-1239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 502 | NM | Yes |

## Other

- **Enumeration date:** 10/27/2009
- **Last updated:** 11/02/2009