Organization
COME ON HOME TO ROSA'S PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA EDGE (PRESIDENT)
(229) 319-6755
Entity
Organization
Contact information
Practice address
678 SE BAYA DR, LAKE CITY, FL 32025-6038
(229) 319-6755
Mailing address
678 SE BAYA DR, LAKE CITY, FL 32025-6038
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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