Provider Demographics
NPI:1609573047
Name:ROLA
Entity Type:Organization
Organization Name:ROLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:MAYER
Authorized Official - Last Name:NARANJO ROSENZWEIG
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:561-922-3334
Mailing Address - Street 1:100 S DIXIE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5421
Mailing Address - Country:US
Mailing Address - Phone:561-922-3334
Mailing Address - Fax:
Practice Address - Street 1:100 S DIXIE HWY STE 300
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5421
Practice Address - Country:US
Practice Address - Phone:561-922-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health