Rose Road Home LLC
NPI #1194101592 in South Ogden, Utah
Provider Information
- NPI Number
- 1194101592
- Entity Type
- Organization
- Organization Name
- Rose Road Home LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Aug 7, 2015
- Last Updated
- Feb 4, 2022
Practice Location
- Address
- 5677 S 1475 E STE 4A
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84403-7003
- Phone
- (385) 222-3737
Authorized Official
- Name
- DAVID ROSE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (801) 680-7805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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