Organization
RIO SEDILLO ASSISTED LIVING
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY T SEDILLO N/A (OWNER)
(505) 261-7380
Entity
Organization
Contact information
Practice address
133 CAMINO, LOS CHAVEZ, LOS LUNAS, NM 87031
(505) 440-3267
Mailing address
133 CAMINO LOS CHAVEZ, LOS LUNAS, NM 87031
(505) 261-7380
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2270
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O3029929000
WE HAVE NOT RECEIVED ANY ISSUED NO'S YET,WE ARE DOING MADD FOR MEDICARE
NM
Enumeration date
04/16/2015
Last updated
04/16/2015
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