Provider Demographics
NPI:1225451222
Name:AWESOME RESOURCE COORDINATION, INC.
Entity Type:Organization
Organization Name:AWESOME RESOURCE COORDINATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MONTRELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:COWAN
Authorized Official - Suffix:
Authorized Official - Credentials:LGSW
Authorized Official - Phone:800-272-4223
Mailing Address - Street 1:3408 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:HILLCREST HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1232
Mailing Address - Country:US
Mailing Address - Phone:800-272-4223
Mailing Address - Fax:
Practice Address - Street 1:1300 MERCANTILE LN STE 149
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5334
Practice Address - Country:US
Practice Address - Phone:800-272-4223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management