Provider Demographics
NPI:1083042550
Name:EDUCATION RESEARCH SOLUTIONS
Entity Type:Organization
Organization Name:EDUCATION RESEARCH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRIFFITHS-PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:813-507-5775
Mailing Address - Street 1:11705 BOYETTE RD
Mailing Address - Street 2:SUITE # 214
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-5533
Mailing Address - Country:US
Mailing Address - Phone:813-507-5775
Mailing Address - Fax:888-333-1606
Practice Address - Street 1:11705 BOYETTE RD
Practice Address - Street 2:SUITE # 214
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-5533
Practice Address - Country:US
Practice Address - Phone:813-507-5775
Practice Address - Fax:888-333-1606
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 Licenses
StateLicense IDTaxonomies
251B00000X, 251E00000X
FL252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health