Healthcare Provider Details
I. General information
NPI: 1275254823
Provider Name (Legal Business Name): ROSE'S HOME HEARING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022
Certification Date: 09/10/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
78 FAUNCE CORNER RD STE 520A
NORTH DARTMOUTH MA
02747-1259
US
IV. Provider business mailing address
126 LOCUST ST
RAYNHAM MA
02767-1145
US
V. Phone/Fax
- Phone: 508-951-0703
- Fax:
- Phone: 508-951-0703
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BRADD
E
HILSTON
Title or Position: OFFICER OF PRACTICE
Credential:
Phone: 508-951-0703