IndividualActive
Rose Souverain
NPI 1073990982 · Mental Illness Community Based Residential Treatment Facility · Ocoee, FL
Provider details
- NPI number
- 1073990982
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6906125 (FL)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
404 Tranquille Oaks Dr
Ocoee, FL 34761-1402
Phone: (321) 460-4138
Fax: (321) 558-3055
Approximate (ZIP-level) locationGet directions
Mailing address
404 Tranquille Oaks Dr
Ocoee, FL 34761-1402
Registry dates
- Enumerated
- 2015-04-29
- Last updated
- 2015-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.