NPI | 1093105975 |
---|---|
Doing Business As | ROCK RIDGE RESIDENTIAL CARE CENTER |
Entity Type | Organization |
Authorized Contact | CHARLES LAWRENCE THOMAS President Of The Board 1605-760-1610 |
Organization Subpart ? | Yes |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: IA 311Z00000X) |
Enumeration Date | 2015-01-29 |
Last Update Date | 2015-01-29 |