Provider Demographics
NPI:1225721962
Name:RESPITE RESOURCES, LLC
Entity Type:Organization
Organization Name:RESPITE RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:DETTINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-392-8183
Mailing Address - Street 1:1240 TIMBERBROOK CT
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-2855
Mailing Address - Country:US
Mailing Address - Phone:413-392-8183
Mailing Address - Fax:
Practice Address - Street 1:1240 TIMBERBROOK CT
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-2855
Practice Address - Country:US
Practice Address - Phone:413-392-8183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty