Individual
ROSE OGOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 W WALNUT ST, KALAMAZOO, MI 49007-4904
(269) 344-7726
Mailing address
720 W WALNUT ST, KALAMAZOO, MI 49007-4904
(269) 344-7726
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AS390390449
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822691650
—
MI
Enumeration date
12/06/2017
Last updated
05/13/2025
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