Healthcare Provider Details

I. General information

NPI: 1174343974
Provider Name (Legal Business Name): ROSES REJUVENATING OASIS FOR SOCIAL ENGAGEMENT AND SUPPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1736 SKYLINE DR
RICHMOND HEIGHTS OH
44143-1222
US

IV. Provider business mailing address

1736 SKYLINE DR
RICHMOND HEIGHTS OH
44143-1222
US

V. Phone/Fax

Practice location:
  • Phone: 216-254-4440
  • Fax:
Mailing address:
  • Phone: 216-254-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROSANNA MORRIS
Title or Position: OWNER/OPERATOR
Credential:
Phone: 216-254-4440