Provider Demographics
NPI:1053977165
Name:ROLEZOLA INC
Entity type:Organization
Organization Name:ROLEZOLA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-629-8322
Mailing Address - Street 1:1855 E SOUTHERN AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-5242
Mailing Address - Country:US
Mailing Address - Phone:480-629-8322
Mailing Address - Fax:480-935-2438
Practice Address - Street 1:1855 E SOUTHERN AVE STE 206
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-5242
Practice Address - Country:US
Practice Address - Phone:480-629-8322
Practice Address - Fax:480-935-2438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-14
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care