Organization
PRIME ROSE HEALTHCARE STAFFING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS OMOLO BLASIO CPA (CFO)
(317) 293-1796
Entity
Organization
Contact information
Practice address
8201 TRADERS HOLLOW CT, INDIANAPOLIS, IN 46278-1297
(180) 029-3179
Mailing address
743 CREEKWOOD DR, WEST BEND, WI 53095-7893
(800) 293-1796
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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