Provider Demographics
NPI:1083280572
Name:RESOLUTE CARE SERVICES LLC
Entity Type:Organization
Organization Name:RESOLUTE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN/CARE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW,CCC
Authorized Official - Phone:907-224-5850
Mailing Address - Street 1:PO BOX 2076
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:AK
Mailing Address - Zip Code:99664-2076
Mailing Address - Country:US
Mailing Address - Phone:907-224-5850
Mailing Address - Fax:360-868-1461
Practice Address - Street 1:10599 FOX CIR
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:AK
Practice Address - Zip Code:99664
Practice Address - Country:US
Practice Address - Phone:907-224-5850
Practice Address - Fax:360-868-1461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management