NPI 1629803697
Rustic Canteen, LLC
Practice location
- Address
- 6465 W Colfax Ave, Lakewood, CO 80214-1801
- Phone
- (949) 463-0603
- Mailing address
- 22 Pasada Valiente, Rancho Santa Margarita, CA 92688-1983
Authorised official
- Name
- Marco Ramirez
- Title
- Owner
- Phone
- (949) 463-0603
Registered specialties
Home Delivered Meals
Primary
Registry record
- NPI
- 1629803697
- Entity type
- Organization
- NPI issued
- 7 Sep 2024
- Record last updated
- 19 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.