Provider Demographics
NPI:1497505184
Name:ROCKHAVEN CARE SERVICES
Entity Type:Organization
Organization Name:ROCKHAVEN CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:MANTE
Authorized Official - Last Name:AMOO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:603-858-2894
Mailing Address - Street 1:10 SANBORN ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01850-2524
Mailing Address - Country:US
Mailing Address - Phone:978-735-9920
Mailing Address - Fax:
Practice Address - Street 1:10 SANBORN ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01850-2524
Practice Address - Country:US
Practice Address - Phone:978-735-9920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care