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General NPI Number Information
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NPI Number | 1619797693
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Entity Type | Organization
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Legal Business Name | ROSA'S CARING HEART, LLC
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 2873 NW US 221
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City | GREENVILLE
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State | FL
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Zip | 32331-4531
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Country | US
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Telephone | 850-948-2054
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Fax | 850-242-7072
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Provider Business Mailing Address
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Address Line | 609 SW SUMMERSET WAY
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City | MADISON
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State | FL
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Zip | 32340-4464
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Country | US
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Telephone | 850-673-9941
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Fax | 850-242-7072
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LAFRENCHEE LILLIAN MCCREARY
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Credential | RN
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Telephone | 850-948-2054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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