Healthcare Provider Details

I. General information

NPI: 1205448834
Provider Name (Legal Business Name): ROSE TRAINING & EDUCATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 08/17/2020
Certification Date: 08/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 HILLVIEW AVE NE
GRAND RAPIDS MI
49503-3824
US

IV. Provider business mailing address

156 HILLVIEW AVE NE
GRAND RAPIDS MI
49503-3824
US

V. Phone/Fax

Practice location:
  • Phone: 616-808-1720
  • Fax:
Mailing address:
  • Phone: 616-808-1720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARGARET ANN ROSE
Title or Position: OWNER
Credential: LMSW
Phone: 616-808-1720