TISA ROGERS, Adult Care Home DURHAM, NC

Contact Information

TISA ROGERS

306 CHERRY GROVE STREET
DURHAM, NC 27703

Phone: 980-286-2713
Fax: 919-294-6164
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Care Home	311ZA0620X

Indicates primary specialty

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NPI Profile & details for TISA ROGERS · (Female)

NPI Number	`1295504017`
Status	Active
Credentials
Entity	Individual
Enumeration date	12/20/2023
Last updated	12/20/2023 - About 2 years ago
Sole proprietor ¹	Yes
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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