# ROSE ASSISTED LIVING FACILITY, LLC.

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

## Provider details

- **NPI number:** 1578932489
- **Authorized official:** FRANSISE DEREZIL (ADMINISTRATOR)
- **Authorized official phone:** (772) 207-7622

## Contact information

- **Practice address:** 256 SW MOSELLE AVE, PORT ST LUCIE, FL 34984-5028
- **Practice address phone:** (718) 838-4313
- **Practice address fax:** (772) 237-2234
- **Mailing address:** 256 SW MOSELLE AVE, PORT ST LUCIE, FL 34984-5028
- **Mailing address phone:** (718) 838-4313
- **Mailing address fax:** (772) 237-2234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | AL12659 | FL | Yes |

## Other

- **Enumeration date:** 09/21/2015
- **Last updated:** 09/21/2015