Healthcare Provider Details

I. General information

NPI: 1053495648
Provider Name (Legal Business Name): ROSE HILL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5130 ROSE HILL BLVD
HOLLY MI
48442
US

IV. Provider business mailing address

5130 ROSE HILL BLVD
HOLLY MI
48442
US

V. Phone/Fax

Practice location:
  • Phone: 248-634-5530
  • Fax: 248-634-7754
Mailing address:
  • Phone: 248-634-5530
  • Fax: 248-634-7754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number0010000000000581
License Number StateMI

VIII. Authorized Official

Name: JAMES KUBICEK
Title or Position: PRESIDENT
Credential:
Phone: 248-634-5530