Provider Demographics
NPI:1083125645
Name:AIELLO, ROSALIA E
Entity Type:Individual
Prefix:
First Name:ROSALIA
Middle Name:E
Last Name:AIELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2661 HAWLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-9367
Mailing Address - Country:US
Mailing Address - Phone:734-680-4216
Mailing Address - Fax:
Practice Address - Street 1:26071 DENNING RD
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:MI
Practice Address - Zip Code:48164-9524
Practice Address - Country:US
Practice Address - Phone:734-680-4216
Practice Address - Fax:734-680-4216
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-22
Last Update Date:2017-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide