Provider Demographics
NPI:1407455256
Name:ONE QUEEN 6 ROSES
Entity Type:Organization
Organization Name:ONE QUEEN 6 ROSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C EO
Authorized Official - Prefix:
Authorized Official - First Name:NASER
Authorized Official - Middle Name:A
Authorized Official - Last Name:JABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-623-8277
Mailing Address - Street 1:6430 CHAMBERSBURG RD
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3946
Mailing Address - Country:US
Mailing Address - Phone:937-623-8277
Mailing Address - Fax:
Practice Address - Street 1:6430 CHAMBERSBURG RD
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3946
Practice Address - Country:US
Practice Address - Phone:937-623-8277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty