# CASA DE ROSA ASSISTED LIVING FACILITY

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

## Provider details

- **NPI number:** 1508042797
- **Authorized official:** RUDY J CHAVEZ (DIRECTOR)
- **Authorized official phone:** (505) 897-2322

## Contact information

- **Practice address:** 10127 GUADALUPE TRL NW, ALBUQUERQUE, NM 87114-2014
- **Practice address phone:** (505) 897-2322
- **Mailing address:** 10127 GUADALUPE TR NW, ALBUQUERQUE, NM 87114
- **Mailing address phone:** (505) 897-2322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 89351321 | NULL | Yes |

## Other

- **Enumeration date:** 01/17/2008
- **Last updated:** 01/17/2008