Organization
ROSE OFSHARON HOME CARE AND HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY RENEE HENRY ROSS FNP (ADMINISTRATOR)
(910) 860-2058
Entity
Organization
Contact information
Practice address
1504 GILLESPIE ST # 1508, FAYETTEVILLE, NC 28306-1846
(910) 860-2058
Mailing address
1504 GILLESPIE ST # 1508, FAYETTEVILLE, NC 28306-1846
(910) 860-2058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2855
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408270
—
NC
05
—
6601229
—
NC
Enumeration date
03/29/2007
Last updated
08/22/2020
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