Provider Demographics
NPI:1518299205
Name:SCLAFANI, ROSE (CAREGIVER CERT)
Entity Type:Individual
Prefix:MS
First Name:ROSE
Middle Name:
Last Name:SCLAFANI
Suffix:
Gender:F
Credentials:CAREGIVER CERT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5893 W MERCURY WAY
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-7521
Mailing Address - Country:US
Mailing Address - Phone:602-690-3890
Mailing Address - Fax:
Practice Address - Street 1:5893 W MERCURY WAY
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-7521
Practice Address - Country:US
Practice Address - Phone:602-690-3890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide