Provider Demographics
NPI:1851722078
Name:ROSEWOOD SUPPORT SERVICES, INC
Entity Type:Organization
Organization Name:ROSEWOOD SUPPORT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-218-5206
Mailing Address - Street 1:PO BOX 804
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-0804
Mailing Address - Country:US
Mailing Address - Phone:785-218-5206
Mailing Address - Fax:785-218-5206
Practice Address - Street 1:2518 RIDGE CT
Practice Address - Street 2:SUITE 202
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-4079
Practice Address - Country:US
Practice Address - Phone:785-218-5206
Practice Address - Fax:785-856-3908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS200420910A320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200420910AMedicaid