Organization
ROSE-HILL #2
Active
Other names
Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELINE O NWADIGO (OWNER /ADMINISTRATOR)
(984) 200-5740
Entity
Organization
Contact information
Practice address
2305 GLASCOCK ST, RALEIGH, NC 27610-1601
(984) 200-5740
(984) 200-5740
Mailing address
1705 BEACON BLUFF ST, RALEIGH, NC 27604-5446
(919) 522-8581
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
FCL-092234
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FCL-092234
DEPARTMENT OF HEALTH AND HUMAN SERVICES
NC
Enumeration date
11/27/2017
Last updated
11/27/2017
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