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

TaxonomyCodeLicense
Nursing Home Administrator Primary 376G00000XH1871 (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.