Provider Demographics
NPI:1477793081
Name:ROSA'S WAY INC
Entity Type:Organization
Organization Name:ROSA'S WAY INC
Other - Org Name:INDEPENDENT LIVING PROFESSIONAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:PORTER
Authorized Official - Last Name:BEDOYA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:757-761-9595
Mailing Address - Street 1:1111 DRIVER POINTE CT
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-1272
Mailing Address - Country:US
Mailing Address - Phone:757-761-9595
Mailing Address - Fax:757-538-2111
Practice Address - Street 1:5705 LEE FARM LN
Practice Address - Street 2:SUITE C
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1772
Practice Address - Country:US
Practice Address - Phone:757-761-9595
Practice Address - Fax:757-538-2111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health