Organization
ROSE GARDEN AFCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE THELAMONT (PROVIDER)
(321) 684-8722
Entity
Organization
Contact information
Practice address
335 ABALONE RD NW, PALM BAY, FL 32907-2961
(321) 684-8722
Mailing address
335 ABALONE RD NW, PALM BAY, FL 32907-2961
(321) 684-8722
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
6906251
FL
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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