Provider Demographics
NPI:1174387716
Name:ROSEMOND HEALTH ALLIES, LLC
Entity type:Organization
Organization Name:ROSEMOND HEALTH ALLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:281-508-7001
Mailing Address - Street 1:2376 CANDLER RD STE B339
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-6406
Mailing Address - Country:US
Mailing Address - Phone:281-508-7001
Mailing Address - Fax:
Practice Address - Street 1:2376 CANDLER RD STE B339
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-6406
Practice Address - Country:US
Practice Address - Phone:281-508-7001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care