Roosevelt Stackhouse, RN is a home health registered nurse in Florence, SC. Roosevelt Stackhouse, RN NPI is 1225455074. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1705 W EVANS ST FLORENCE, SC ZIP 29501-331 Phone: (843) 774-1577 Fax: (843) 774-1047
The enumeration date for this NPI number is 3/18/2014 and was last updated on 3/18/2014.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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