Provider Demographics
NPI:1689419103
Name:ROSEMOND, FELESIA
Entity type:Individual
Prefix:
First Name:FELESIA
Middle Name:
Last Name:ROSEMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401I LAURENS RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2312
Mailing Address - Country:US
Mailing Address - Phone:864-214-1187
Mailing Address - Fax:
Practice Address - Street 1:1401I LAURENS RD UNIT B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2312
Practice Address - Country:US
Practice Address - Phone:864-214-1187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide