NPI | 1326103839 |
---|---|
Doing Business As | CASA SAN JOSE |
Entity Type | Organization |
Authorized Contact | MARY FRANCINE SCHUSTER Director 505-285-5451 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: NM 5509) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2020-08-22 |