Individual
MRS. ROSIE ANN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
611 REDBUD ST, 611 REDBUD ST, HENDERSON, TX 75652-6543
(903) 646-6291
Mailing address
611 REDBUD ST, 611 REDBUD ST, HENDERSON, TX 75652-6543
(903) 646-6291
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218196500
—
TX
Enumeration date
02/06/2014
Last updated
02/06/2014
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