Provider Demographics
NPI:1053544924
Name:ROSSWOODS, INC.
Entity type:Organization
Organization Name:ROSSWOODS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:K
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:706-270-9628
Mailing Address - Street 1:1428 ROSS DR
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-3052
Mailing Address - Country:US
Mailing Address - Phone:706-270-9628
Mailing Address - Fax:706-272-6382
Practice Address - Street 1:1428 ROSS DR
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3052
Practice Address - Country:US
Practice Address - Phone:706-270-9628
Practice Address - Fax:706-272-6382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care