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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