Rose Souverain

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1073990982

Rose Souverain is a Mental Illness Community Based Residential Treatment Facility in Ocoee, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in: FL
In the registry since: 2015

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Practice location Address checks out

404 Tranquille Oaks Dr
Ocoee, FL 34761-1402
Phone: (321) 460-4138
Fax: (321) 558-3055

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Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary)	Taxonomy 320800000X · Licence 6906125 (FL)

Record details

NPI number	1073990982
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	April 29, 2015
Last updated in NPPES	April 29, 2015
Mailing address	404 Tranquille Oaks Dr, Ocoee, FL 34761-1402