NPI 1144364852

Rosewood Residence LLC

Organisation Point of Service Belden, MS

Practice location

Address: 2441 McCullough Blvd, Belden, MS 38826-9742
Phone: (662) 844-5856
Fax: (662) 680-4700

Authorised official

Name: Charles L Boatner
Title: Owner
Phone: (662) 842-8400

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 802 (MS)

Other Point of Service providers in Mississippi →

Registry record

NPI: 1144364852
Entity type: Organization
NPI issued: 16 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.