ROOSEVELT STACKHOUSE JR., RN

Registered Nurse - Home Health

Active Individual
NPI: 1225455074

Practice Address

1705 W EVANS ST
Florence, SC 29501

Phone: (843) 774-1577

Specialties

Specialty Code Primary License
Registered Nurse - Home Health 163WH0200X Yes 37318 (SC)

Frequently Asked Questions

NPI 1225455074 is the National Provider Identifier for ROOSEVELT STACKHOUSE JR., RN, a Registered Nurse - Home Health provider located in Florence, SC. This NPI was enumerated on March 18, 2014.
ROOSEVELT STACKHOUSE JR., RN practices at 1705 W EVANS ST, Florence, SC 29501.

Quick Facts

NPI
1225455074
Type
Individual
Enumerated
Mar 18, 2014
Last Updated
Mar 18, 2014

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