Provider Demographics
NPI:1346643137
Name:RESOURCEFUL HEALTY CARE INC
Entity Type:Organization
Organization Name:RESOURCEFUL HEALTY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIAMCE
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:TYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-213-5501
Mailing Address - Street 1:1645 J A COCHRAN BYPASS
Mailing Address - Street 2:B
Mailing Address - City:CHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29706
Mailing Address - Country:US
Mailing Address - Phone:803-377-8416
Mailing Address - Fax:803-377-8418
Practice Address - Street 1:1645 J A COCHRAN BYP
Practice Address - Street 2:B
Practice Address - City:CHESTER
Practice Address - State:SC
Practice Address - Zip Code:29706-2105
Practice Address - Country:US
Practice Address - Phone:803-377-8416
Practice Address - Fax:803-377-8418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Multi-Specialty