Provider Demographics
NPI:1083215537
Name:RESILIENT HEALTHCARE LLC
Entity Type:Organization
Organization Name:RESILIENT HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DESANTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-449-3400
Mailing Address - Street 1:89 NEWBURY ST STE 203
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1075
Mailing Address - Country:US
Mailing Address - Phone:781-231-7026
Mailing Address - Fax:781-231-7673
Practice Address - Street 1:63 LITTLE RIVER RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-1427
Practice Address - Country:US
Practice Address - Phone:603-918-9973
Practice Address - Fax:603-259-4780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty