Provider Demographics
NPI:1295590461
Name:NDASI, ROSE N
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:N
Last Name:NDASI
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 1:28727 FARMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2611
Mailing Address - Country:US
Mailing Address - Phone:248-470-9963
Mailing Address - Fax:
Practice Address - Street 1:28727 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2611
Practice Address - Country:US
Practice Address - Phone:248-470-9963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care