Organization
BLOOMING ROSE CARE HOME LLC
Active
Organization
BLOOMING ROSE CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE BARBARA ROSE (MANAGER)
(623) 444-4742
Entity
Organization
Contact information
Practice address
14885 W CAMERON DR, SURPRISE, AZ 85379-5219
(603) 444-4742
(623) 444-4742
Mailing address
14885 W CAMERON DR, SURPRISE, AZ 85379-5219
(603) 444-4742
(623) 444-4742
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9985H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
ASSISTED LIVING FACILITY
AZ
Enumeration date
12/12/2017
Last updated
01/08/2018
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