Organization
ROSE PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE THOMPSON (PRESIDENT)
(601) 441-0956
Entity
Organization
Contact information
Practice address
312 SECOND ST, COLUMBIA, MS 39429-2954
(601) 441-0956
Mailing address
312 SECOND ST, COLUMBIA, MS 39429-2954
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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