Healthcare Provider Details

I. General information

NPI: 1801095658
Provider Name (Legal Business Name): ROSE HILL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 07/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 S CAMP MEADE RD
LINTHICUM MD
21090-3056
US

IV. Provider business mailing address

804 S CAMP MEADE RD
LINTHICUM MD
21090-3056
US

V. Phone/Fax

Practice location:
  • Phone: 410-859-8900
  • Fax: 410-859-9299
Mailing address:
  • Phone: 410-859-8900
  • Fax: 410-859-9299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number02AL0239
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number02AL0240
License Number StateMD

VIII. Authorized Official

Name: MICHELLE DYE
Title or Position: ADMINSTRATOR/WELLNESS DIRECTOR
Credential: RN, CM/DN
Phone: 410-859-8900