The Rock Home Visiting Provider LLC

NPI #1861116808 in Melissa, Texas

Provider Information

NPI Number: 1861116808
Entity Type: Organization
Organization Name: The Rock Home Visiting Provider LLC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Oct 3, 2022
Last Updated: Oct 3, 2022

Practice Location

Address: 3512 COOKE LN
City: Melissa
State: Texas
ZIP Code: 75454-1801
Phone: (773) 681-1505

Authorized Official

Name: GIRMACHEW HAILE, NP
Title: CEO
Phone: (773) 681-1505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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