Basic Information
| Provider Information | |||||||||
| NPI: | 1053495648 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ROSE HILL CENTER INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5130 ROSE HILL BLVD | ||||||||
| Address2: | |||||||||
| City: | HOLLY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2486345530 | ||||||||
| FaxNumber: | 2486347754 | ||||||||
| Practice Location | |||||||||
| Address1: | 5130 ROSE HILL BLVD | ||||||||
| Address2: | |||||||||
| City: | HOLLY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2486345530 | ||||||||
| FaxNumber: | 2486347754 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2006 | ||||||||
| LastUpdateDate: | 02/18/2020 | ||||||||
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| AuthorizedOfficialLastName: | ROTHWELL | ||||||||
| AuthorizedOfficialFirstName: | ROCHELLE | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2486345530 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/18/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 320800000X | 0010000000000581 | MI | Y | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |
No ID Information.