Provider Demographics
NPI:1033307079
Name:ROSE CITY HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:ROSE CITY HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:U
Authorized Official - Last Name:OSUAGWU
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:903-372-5444
Mailing Address - Street 1:1225 SPRING BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3407
Mailing Address - Country:US
Mailing Address - Phone:903-372-5444
Mailing Address - Fax:
Practice Address - Street 1:1225 SPRING BRANCH DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-3407
Practice Address - Country:US
Practice Address - Phone:903-372-5444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health