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General NPI Number Information
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NPI Number | 1720083496
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Entity Type | Organization
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Legal Business Name | ROSEWOOD HOME HEALTH SERVICES, INC
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7501 N UNIVERSITY ST STE 208
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City | PEORIA
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State | IL
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Zip | 61614-1258
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Country | US
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Telephone | 309-689-0302
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Fax |
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Provider Business Mailing Address
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Address Line | 11701 BORMAN DR STE 315
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City | SAINT LOUIS
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State | MO
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Zip | 63146-4194
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Country | US
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Telephone | 314-994-9070
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MICHAEL BRADY
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Credential |
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Telephone | 314-994-9070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1009505
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License Number State | IL
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