| Rose Road Home Llc | |
|
5677 S 1475 E Ste 4a South Ogden UT 84403-7003 | |
| (385) 222-3737 | |
| (385) 222-3738 |
| Full Name | Rose Road Home Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 5677 S 1475 E Ste 4a, South Ogden, Utah |
| Authorized Official Name and Position | David Rose (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8016807805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Road Home Llc 5677 S 1475 E Ste 4a South Ogden UT 84403-7003 Ph: (385) 222-3737 | Rose Road Home Llc 5677 S 1475 E Ste 4a South Ogden UT 84403-7003 Ph: (385) 222-3737 |
| NPI Number | 1194101592 |
|---|---|
| Provider Enumeration Date | 08/07/2015 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194101592 | NPI | - | NPPES |
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