Organization
ROSALIE LLC
Active
Organization
ROSALIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIENVENU YEMALIN ADDAH (DIRECTOR)
(402) 979-7770
Entity
Organization
Contact information
Practice address
11605 WEST DODGE RD, STE 4, OMAHA, NE 68154-2566
(402) 979-7770
(402) 979-7770
Mailing address
11605 WEST DODGE RD, STE 4, OMAHA, NE 68154-2566
(402) 979-7770
(402) 979-7770
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
12/26/2018
Last updated
05/08/2025
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