Provider Demographics
NPI:1841266277
Name:ROSE-RICH GROUP, INC.
Entity type:Organization
Organization Name:ROSE-RICH GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDEM
Authorized Official - Middle Name:
Authorized Official - Last Name:UKOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-274-4646
Mailing Address - Street 1:620 S ELM ST
Mailing Address - Street 2:SUITE 308-A
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-1370
Mailing Address - Country:US
Mailing Address - Phone:336-274-4646
Mailing Address - Fax:336-464-2977
Practice Address - Street 1:620 S ELM ST
Practice Address - Street 2:SUITE 308-A
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-1370
Practice Address - Country:US
Practice Address - Phone:336-274-4646
Practice Address - Fax:336-464-2977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5469400001Medicare ID - Type Unspecified