Organization
ROSE HOME HEALTH CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY TANI WALKER CPSS (OWNER)
(910) 262-9067
Entity
Organization
Contact information
Practice address
1013 GLENLEA DR, WILMINGTON, NC 28405-2203
(910) 262-9067
(910) 253-9844
Mailing address
PO BOX 105, WILMINGTON, NC 28402-0105
(910) 262-9067
(910) 253-9844
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/26/2024
Last updated
11/03/2024
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