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Organization
ROSE OFSHARON HOME CARE AND HEALTH SERVICES
Active
Organization
ROSE OFSHARON HOME CARE AND HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY RENEE HENRY ROSS FNP (ADMINISTRATOR)
(910) 860-2058
Entity
Organization
Contact information
Practice address
1504 GILLESPIE ST # 1508, FAYETTEVILLE, NC 28306-1846
(910) 860-2058
Mailing address
1504 GILLESPIE ST # 1508, FAYETTEVILLE, NC 28306-1846
(910) 860-2058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2855
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408270
—
NC
05
—
6601229
—
NC
Enumeration date
03/29/2007
Last updated
08/22/2020
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