| 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 |