Provider Demographics
NPI:1174343974
Name:ROSES REJUVENATING OASIS FOR SOCIAL ENGAGEMENT AND SUPPORT
Entity type:Organization
Organization Name:ROSES REJUVENATING OASIS FOR SOCIAL ENGAGEMENT AND SUPPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-254-4440
Mailing Address - Street 1:1736 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1222
Mailing Address - Country:US
Mailing Address - Phone:216-254-4440
Mailing Address - Fax:
Practice Address - Street 1:1736 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-1222
Practice Address - Country:US
Practice Address - Phone:216-254-4440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care