| NPI | 1124400361 |
|---|---|
| Doing Business As | ST. ROSE CONVENIENT CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN B MOORE Exec Director Ppa 785-623-2185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2017-02-07 |