Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X | |||
Licensed Practical Nurse |
164W00000X | |||
Registered Nurse |
163W00000X |
| NPI Number | 1780103994 |
| LBN Legal business name | ROSEFIDELIS OMNICARE, LLC |
| Authorized official | SCHOLASTICA NWABUEZE - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/19/2017 |
| Last updated | 09/19/2017 - About 9 years ago |
| Identifiers | n/a |
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