Provider Demographics
NPI:1891047924
Name:ROSES ADULT CARE SERVICES
Entity Type:Organization
Organization Name:ROSES ADULT CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:STITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:804-651-6654
Mailing Address - Street 1:1617 TREE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-6894
Mailing Address - Country:US
Mailing Address - Phone:804-651-6654
Mailing Address - Fax:804-226-1662
Practice Address - Street 1:3025 NOBLE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-2525
Practice Address - Country:US
Practice Address - Phone:804-651-6654
Practice Address - Fax:804-226-1662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-13
Last Update Date:2012-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health