Organization
ROG LONG TERM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL KRUEGER (OWNER/AUTHORIZED OFFICIAL)
(719) 272-1455
Entity
Organization
Contact information
Practice address
15880 KINGSWOOD DR, COLORADO SPRINGS, CO 80921-1806
(719) 272-1455
(719) 960-2183
Mailing address
545 3RD ST UNIT 1009, MONUMENT, CO 80132-4541
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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