Rosewood Residence LLC
NPI #1144364852 in Belden, Mississippi
Provider Information
- NPI Number
- 1144364852
- Entity Type
- Organization
- Organization Name
- Rosewood Residence LLC
- Primary Specialty
- Point of Service
- Enumeration Date
- Feb 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2441 MCCULLOUGH BLVD
- City
- Belden
- State
- Mississippi
- ZIP Code
- 38826-9742
- Phone
- (662) 844-5856
Authorized Official
- Name
- CHARLES L BOATNER JR.
- Title
- OWNER
- Phone
- (662) 842-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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