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General NPI Number Information
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NPI Number | 1750170320
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Entity Type | Organization
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Legal Business Name | ROSEMENE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 722 LAKE MARTHA DR NE
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City | WINTER HAVEN
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State | FL
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Zip | 33881-4275
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Country | US
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Telephone | 863-398-9236
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Fax | 863-398-9236
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Provider Business Mailing Address
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Address Line | 722 LAKE MARTHA DR NE
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City | WINTER HAVEN
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State | FL
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Zip | 33881-4275
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Country | US
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Telephone | 863-398-9236
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Fax |
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Authorized Official
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Title or Position | FINANCIAL OFFICER
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Name | SHERBY SAIMPLICE
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Credential |
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Telephone | 863-398-9236
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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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