Provider Demographics
NPI:1659669117
Name:BACHER, ROSEMARIE E
Entity Type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:E
Last Name:BACHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1936 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32206-3744
Mailing Address - Country:US
Mailing Address - Phone:904-655-0872
Mailing Address - Fax:
Practice Address - Street 1:262 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-4010
Practice Address - Country:US
Practice Address - Phone:904-655-0872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility