Individual
ROSE JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
904 S PITTSBURGH ST, CONNELLSVILLE, PA 15425-4414
(724) 320-4357
Mailing address
904 S PITTSBURGH ST, CONNELLSVILLE, PA 15425-4414
(724) 320-4357
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
28703601
PA
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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