Provider Demographics
NPI:1831579952
Name:ROSEWOOD ASSISTED CARE INC
Entity type:Organization
Organization Name:ROSEWOOD ASSISTED CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-489-9191
Mailing Address - Street 1:1108 E BELLE MEADOWS WAY
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-1730
Mailing Address - Country:US
Mailing Address - Phone:801-489-9191
Mailing Address - Fax:801-489-9124
Practice Address - Street 1:1108 E BELLE MEADOWS WAY
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-1730
Practice Address - Country:US
Practice Address - Phone:801-489-9191
Practice Address - Fax:801-489-9124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility