Organization
RUSTIC CANTEEN, LLC
Active
Other names
FTC Kitchen
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO RAMIREZ (OWNER)
(949) 463-0603
Entity
Organization
Contact information
Practice address
6465 W COLFAX AVE, LAKEWOOD, CO 80214-1801
(949) 463-0603
Mailing address
22 PASADA VALIENTE, RANCHO SANTA MARGARITA, CA 92688-1983
(949) 463-0603
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
09/07/2024
Last updated
09/19/2024
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