Provider Demographics
NPI:1073941548
Name:RODCOR SERVICES LLC
Entity Type:Organization
Organization Name:RODCOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEWSOME-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-650-3527
Mailing Address - Street 1:4545 FULLER DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-6530
Mailing Address - Country:US
Mailing Address - Phone:972-650-3527
Mailing Address - Fax:972-650-6835
Practice Address - Street 1:4545 FULLER DR
Practice Address - Street 2:SUITE 240
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-6530
Practice Address - Country:US
Practice Address - Phone:972-650-3527
Practice Address - Fax:972-650-6835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-21
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child