Provider Demographics
NPI:1235305400
Name:ABC RESOURCES, PC
Entity Type:Organization
Organization Name:ABC RESOURCES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:CISAR
Authorized Official - Last Name:LEROUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-478-4956
Mailing Address - Street 1:3700 S HURON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2065
Mailing Address - Country:US
Mailing Address - Phone:989-671-9866
Mailing Address - Fax:989-671-0013
Practice Address - Street 1:3700 S HURON RD
Practice Address - Street 2:SUITE B
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2065
Practice Address - Country:US
Practice Address - Phone:989-671-9866
Practice Address - Fax:989-671-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Multi-Specialty