Organization
ROMAS PLACE INC
Active
Other names
Roma's Place, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO GIL MENDOZA (ADMINISTRATOR AND LICENSEE)
(502) 544-3068
Entity
Organization
Contact information
Practice address
5144 JUDSONVILLE DR, ANTIOCH, CA 94531-8501
(502) 544-3068
(925) 848-3704
Mailing address
5144 JUDSONVILLE DR, ANTIOCH, CA 94531-8501
(502) 544-3068
(925) 848-3704
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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