Provider Demographics
NPI:1275717944
Name:RODCOR, LLC
Entity Type:Organization
Organization Name:RODCOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-650-3527
Mailing Address - Street 1:4545 FULLER DR
Mailing Address - Street 2:SUITE 415
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-6502
Mailing Address - Country:US
Mailing Address - Phone:972-650-3527
Mailing Address - Fax:972-650-6835
Practice Address - Street 1:4545 FULLER DR
Practice Address - Street 2:SUITE 415
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-6502
Practice Address - Country:US
Practice Address - Phone:972-650-3527
Practice Address - Fax:972-650-6835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services