Individual
MRS. VICTORIA ANN ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3614 HOLLYHOCK WAY NW, KENNESAW, GA 30152-6533
(678) 939-2976
Mailing address
3614 HOLLYHOCK WAY NW, KENNESAW, GA 30152-6533
(678) 939-2976
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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