Provider Demographics
NPI:1134468424
Name:RATLIFF, ROSE M (OWNER)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:M
Last Name:RATLIFF
Suffix:
Gender:F
Credentials:OWNER
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:M
Other - Last Name:RATLIFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OWNER
Mailing Address - Street 1:2414 N 32 STREET
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210
Mailing Address - Country:US
Mailing Address - Phone:414-231-0467
Mailing Address - Fax:
Practice Address - Street 1:2414 N 32 STREET
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210
Practice Address - Country:US
Practice Address - Phone:414-231-0467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care