Organization
DESERT ROSE HEALT CARE SERVICES
Active
Other names
Desert Rose Health Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE EKANEM (EXECUTIVE DIRECTOR)
(520) 483-3439
Entity
Organization
Contact information
Practice address
12312 W. DELWOOD DRIVE, # 3699, ARIZONA CITY, AZ 85223
(520) 483-3439
Mailing address
12312 W. DELWOOD DRIVE, PO BOX 3699, ARIZONA CITY, AZ 85223
(520) 483-3439
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2419690
—
OH
Enumeration date
07/09/2008
Last updated
07/09/2008
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