# ROG LONG TERM CARE LLC

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

## Provider details

- **NPI number:** 1275392904
- **Authorized official:** RACHAEL KRUEGER (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (719) 272-1455

## Contact information

- **Practice address:** 15880 KINGSWOOD DR, COLORADO SPRINGS, CO 80921-1806
- **Practice address phone:** (719) 272-1455
- **Practice address fax:** (719) 960-2183
- **Mailing address:** 545 3RD ST UNIT 1009, MONUMENT, CO 80132-4541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2024
- **Last updated:** 03/15/2024