Organization
ROSE'S RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSELLA HARPAUL (OWNER)
(305) 255-8158
Entity
Organization
Contact information
Practice address
11520 SW 108TH AVE, MIAMI, FL 33176-3967
(305) 225-8158
(305) 232-0976
Mailing address
11520 SW 108TH AVE, MIAMI, FL 33176-3967
(305) 225-8158
(305) 232-0976
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL 58
FL
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL 58
FL
3747P1801X
Personal Care Attendant
AL 58
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141091100
—
FL
Enumeration date
10/29/2014
Last updated
10/30/2014
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