Provider Demographics
NPI:1801601745
Name:AURORA ROSE CONSULTING AND SUPPORT, LLC
Entity type:Organization
Organization Name:AURORA ROSE CONSULTING AND SUPPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:925-727-9027
Mailing Address - Street 1:5467 BENTTREE WAY
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8515
Mailing Address - Country:US
Mailing Address - Phone:925-727-9027
Mailing Address - Fax:
Practice Address - Street 1:5467 BENTTREE WAY
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-8515
Practice Address - Country:US
Practice Address - Phone:925-727-9027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management