Roosevelt Stackhouse JR., RN
NPI #1225455074 in Florence, South Carolina
Provider Information
- NPI Number
- 1225455074
- Entity Type
- Individual
- Name
- Roosevelt Stackhouse JR., RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - Home Health
- Credential
- RN
- Enumeration Date
- Mar 18, 2014
- Last Updated
- Mar 18, 2014
Practice Location
- Address
- 1705 W EVANS ST
- City
- Florence
- State
- South Carolina
- ZIP Code
- 29501-3331
- Phone
- (843) 774-1577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Home Health — Home Health |
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