Organization
CASA DE ROSA ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDY J CHAVEZ (DIRECTOR)
(505) 897-2322
Entity
Organization
Contact information
Practice address
10127 GUADALUPE TRL NW, ALBUQUERQUE, NM 87114-2014
(505) 897-2322
Mailing address
10127 GUADALUPE TR NW, ALBUQUERQUE, NM 87114
(505) 897-2322
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
89351321
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89351321
—
NM
Enumeration date
01/17/2008
Last updated
01/17/2008
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