Provider Demographics
NPI:1417320417
Name:ROSE'S CARE
Entity Type:Organization
Organization Name:ROSE'S CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MISSIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-538-1890
Mailing Address - Street 1:10265 GOODNEWS CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-2333
Mailing Address - Country:US
Mailing Address - Phone:907-538-1890
Mailing Address - Fax:907-349-7127
Practice Address - Street 1:10265 GOODNEWS CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-2333
Practice Address - Country:US
Practice Address - Phone:907-538-1890
Practice Address - Fax:907-349-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1021507310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility