Individual provider · Type 1 NPI
Rose Mudida
Nursing Home Administrator · Alexandria, VA
NPI number
1164143871
Active
Practice location
4400 W Braddock Rd
Alexandria, VA 22304-1099
Fax (703) 671-8897
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | H1871 (VA) |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
2 other providers at this address
About NPI 1164143871
Rose Mudida's National Provider Identifier is 1164143871, issued on Sep 9, 2022. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Alexandria, VA. The record was last updated on Sep 9, 2022.