Provider Demographics
NPI:1164767711
Name:ROSEWOOD WELLNESS CENTER & SPA,LLC
Entity Type:Organization
Organization Name:ROSEWOOD WELLNESS CENTER & SPA,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRODER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT,MMP
Authorized Official - Phone:406-375-0220
Mailing Address - Street 1:415 STATE ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-2760
Mailing Address - Country:US
Mailing Address - Phone:406-375-0220
Mailing Address - Fax:
Practice Address - Street 1:415 STATE ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-2760
Practice Address - Country:US
Practice Address - Phone:406-375-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4755261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center