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NPI Code Detail

MEDICARE: ROSEMARY CHILDREN'S SERVICES

MEDICARE: ROSEMARY CHILDREN'S SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number : 1154864163
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSEMARY CHILDREN'S SERVICES
Provider Business Mailing Address
First Line : 3244 E GREEN ST
Second Line :
City : PASADENA
State : CA
Zip : 91107-3836
Country : US
Telephone Number : 626-844-3033
Fax Number : 626-844-3034
Provider Business Practice Location Address
First Line : 3244 E GREEN ST
Second Line :
City : PASADENA
State : CA
Zip : 91107-3836
Country : US
Telephone Number : 626-844-3033
Fax Number : 626-844-3034
Authorized Official
Title or Position : COMMUNITY BASED DIRECTOR
Name : LORRAINE ROMERO
Credential :
Telephone Number : 626-844-3033
Provider Enumeration Date : 11/22/2016
Last Update Date : 11/29/2016

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Directions to “ROSEMARY CHILDREN'S SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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