Organization
CASA DE SHALOM, LLC
Active
Organization
CASA DE SHALOM, LLC
Active
Other names
Vision Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM STANLEY (ADMINISTRATOR)
(505) 715-9649
Entity
Organization
Contact information
Practice address
4102 LAS CIMBRAS CT SE, RIO RANCHO, NM 87124-6908
(505) 715-9649
(505) 994-9430
Mailing address
4102 LAS CIMBRAS CT SE, RIO RANCHO, NM 87124-6908
(505) 715-9649
(505) 994-9430
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1T3408
NM
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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