Provider Demographics
NPI:1194931394
Name:ROSEWOOD FAMILY CARE
Entity type:Organization
Organization Name:ROSEWOOD FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-735-8998
Mailing Address - Street 1:100 PERKINS ST
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-9335
Mailing Address - Country:US
Mailing Address - Phone:919-735-8998
Mailing Address - Fax:919-735-8998
Practice Address - Street 1:100 PERKINS ST
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-9335
Practice Address - Country:US
Practice Address - Phone:919-735-8998
Practice Address - Fax:919-735-8998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility