| Roosevelt Stackhouse Jr, RN | |
|
1705 W Evans St, Florence, SC 29501-3331 | |
| (843) 774-1577 | |
| (843) 774-1047 |
| Full Name | Roosevelt Stackhouse Jr |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Home Health |
| Location | 1705 W Evans St, Florence, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225455074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WH0200X | Registered Nurse - Home Health | 37318 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevelt Stackhouse Jr, RN Po Box 648, 521 Gilchrist Road, Mullins, SC 29574-0648 Ph: (843) 464-0767 | Roosevelt Stackhouse Jr, RN 1705 W Evans St, Florence, SC 29501-3331 Ph: (843) 774-1577 |
Brooke Chamberlain, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 805 Pamplico Hwy Ste B300, Florence, SC 29505 Phone: 843-673-7529 | |
Mrs. Vicky Zelenka, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2142 Fernleaf Ln, Florence, SC 29501 Phone: 843-229-1357 | |
Katherine Horahan, NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 319 S Dargan St, Florence, SC 29506 Phone: 843-669-4141 Fax: 843-673-1160 | |
Jenna Ann Lynch, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1705 W Evans St, Florence, SC 29501 Phone: 843-661-4835 | |
Mrs. Alicia Johnson Thomas, MSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2215 W Palmetto St Ste F, Florence, SC 29501 Phone: 843-407-4046 Fax: 843-407-4046 | |
Stormi Wilson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 125 E Cheves St, Florence, SC 29506 Phone: 843-317-4073 Fax: 843-317-4096 | |
Ashley Gilliard, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1807 Cherokee Rd Ste 337, Florence, SC 29501 Phone: 843-954-2938 |