Organization
ROSES ADULT CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA LYNNE STITH RN (REGISTERED NURSE)
(804) 651-6654
Entity
Organization
Contact information
Practice address
3025 NOBLE AVE, RICHMOND, VA 23222-2525
(804) 651-6654
Mailing address
1617 TREE RIDGE RD, HENRICO, VA 23231-6894
(804) 651-6654
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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