Organization
RAINBOW HOUSE ASSIST
Active
Other names
Juanita Riddle
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANITA RIDDLE (OWNER)
(575) 541-0551
Entity
Organization
Contact information
Practice address
145 W WILLOUGHBY, LAS CRUCES, NM 88005
(575) 541-0551
(575) 541-0551
Mailing address
145 W WILLOUGHBY, LAS CRUCES, NM 88005
(575) 541-0551
(575) 541-0551
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
#IT2107
NM
310400000X
Assisted Living Facility
Primary
IT2122
NM
Other
Enumeration date
06/05/2007
Last updated
08/11/2008
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