Organization
J'ROSE PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOECILYN LAVADA WALLACE MS (PRESIDENT/AGENCY DIRECTOR)
(704) 824-8323
Entity
Organization
Contact information
Practice address
3816 S NEW HOPE RD STE 22, GASTONIA, NC 28056-8493
(704) 824-8323
(704) 879-4490
Mailing address
3816-22 S. NEW HOPE ROAD, GASTONIA, NC 28056
(704) 824-8323
(704) 879-4490
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4292
NC
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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