Individual
KEOSHA LEFAY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
401 W MAIN ST, MARIANNA, AR 72360-2102
(870) 292-5280
(870) 551-3724
Mailing address
PO BOX 2192, FORREST CITY, AR 72336-2192
(870) 208-8362
(870) 208-8384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
223811
AR
164W00000X
Licensed Practical Nurse
223811
AR
Other
Enumeration date
03/18/2025
Last updated
08/19/2025
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