Provider Demographics
NPI:1245902972
Name:ROSE OF THE SHARON
Entity type:Organization
Organization Name:ROSE OF THE SHARON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:NOELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KONATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-206-4582
Mailing Address - Street 1:113 WALSH RD
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2116
Mailing Address - Country:US
Mailing Address - Phone:267-206-4582
Mailing Address - Fax:
Practice Address - Street 1:113 WALSH RD
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-2116
Practice Address - Country:US
Practice Address - Phone:267-206-4582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health