# ROSE TERRACE OF FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083147789
- **Authorized official:** MRS. VIERGELAINE DEVARISTE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (239) 517-4264

## Contact information

- **Practice address:** 2872 GORDON ST, NAPLES, FL 34112-5962
- **Practice address phone:** (239) 571-4264
- **Mailing address:** 2872 GORDON ST, NAPLES, FL 34112-5962
- **Mailing address phone:** (239) 571-4264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | FL | Yes |

## Other

- **Enumeration date:** 04/10/2017
- **Last updated:** 04/10/2017
