Provider Demographics
NPI:1679006530
Name:DREW, ROSE
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:DREW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:AMELIA
Other - Last Name:AMARAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HOME CARE
Mailing Address - Street 1:54 KINGMAN ST
Mailing Address - Street 2:
Mailing Address - City:EAST TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02718-1408
Mailing Address - Country:US
Mailing Address - Phone:774-606-7078
Mailing Address - Fax:
Practice Address - Street 1:54 KINGMAN ST
Practice Address - Street 2:
Practice Address - City:EAST TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02718-1408
Practice Address - Country:US
Practice Address - Phone:774-606-7078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No224ZF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantFeeding, Eating & Swallowing
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker