Provider Demographics
NPI:1386057594
Name:ROSALES INC
Entity type:Organization
Organization Name:ROSALES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-379-2398
Mailing Address - Street 1:2955 E HILLCREST DR STE 128
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3178
Mailing Address - Country:US
Mailing Address - Phone:805-379-2398
Mailing Address - Fax:805-379-2687
Practice Address - Street 1:2955 E HILLCREST DR STE 128
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3178
Practice Address - Country:US
Practice Address - Phone:805-379-2398
Practice Address - Fax:805-379-2687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based