MEDICARE: ROSE-RICH GROUP, INC.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	0093137	TX

General Provider Information

NPI Number	:	1932242351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSE-RICH GROUP, INC.

Provider Business Mailing Address
First Line	:	1218 N MECHANIC ST
Second Line	:	SUITE A
City	:	EL CAMPO
State	:	TX
Zip	:	77437-2614
Country	:	US
Telephone Number	:	979-578-0050
Fax Number	:

Provider Business Practice Location Address
First Line	:	1218 N MECHANIC ST
Second Line	:	SUITE A
City	:	EL CAMPO
State	:	TX
Zip	:	77437-2614
Country	:	US
Telephone Number	:	979-578-0050
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EDEM UKOT
Credential	:
Telephone Number	:	979-578-0050

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	08/22/2020

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