Organization
WHITE ROSE PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEPIDEH NOEKHAH (VICE PRESIDENT)
(312) 752-0706
Entity
Organization
Contact information
Practice address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(312) 291-1342
Mailing address
330 S MICHIGAN AVE APT 1709, CHICAGO, IL 60604-4336
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/23/2019
Last updated
03/04/2020
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