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General NPI Number Information
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NPI Number | 1982057287
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Entity Type | Organization
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Legal Business Name | THE ROSE GARDAN, INC.
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 90 ROLLIE SMITH DR
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City | PIGEON
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State | MI
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Zip | 48755-5143
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Country | US
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Telephone | 989-551-2222
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Fax | 989-453-2285
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Provider Business Mailing Address
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Address Line | 6024 PORT AUSTIN RD
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City | CASEVILLE
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State | MI
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Zip | 48725-9795
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Country | US
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Telephone | 989-551-2222
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Fax | 989-453-2285
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHRIS ROTH
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Credential |
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Telephone | 989-553-3435
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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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