| NPI | 1275100471 |
|---|---|
| Former Legal Business Name | CASA BLANCA, LLC |
| Entity Type | Organization |
| Authorized Contact | SANDRA MICHELLE SANTOS-RODRIGUEZ Co Owner 915-422-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |