Casa De Shalom, LLC
NPI #1891118519 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1891118519
- Entity Type
- Organization
- Organization Name
- Casa De Shalom, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 31, 2014
- Last Updated
- Jan 31, 2014
Practice Location
- Address
- 604 GRAL TREVINO DR SE
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87124-1271
- Phone
- (505) 715-9649
Authorized Official
- Name
- ADAM STANLEY
- Title
- DIRECTOR
- Phone
- (505) 715-9649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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