Organization
ROSE ASSISTED LIVING FACILITY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANSISE DEREZIL (ADMINISTRATOR)
(772) 207-7622
Entity
Organization
Contact information
Practice address
256 SW MOSELLE AVE, PORT ST LUCIE, FL 34984-5028
(718) 838-4313
(772) 237-2234
Mailing address
256 SW MOSELLE AVE, PORT ST LUCIE, FL 34984-5028
(718) 838-4313
(772) 237-2234
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
AL12659
FL
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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