Provider Demographics
NPI:1417191123
Name:RESPONSIBLE RESOURCES INC.
Entity Type:Organization
Organization Name:RESPONSIBLE RESOURCES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MITZI
Authorized Official - Middle Name:JAYNE
Authorized Official - Last Name:TUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-330-7780
Mailing Address - Street 1:1316 S JEFFERSON ST LOWR LEVEL
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-4953
Mailing Address - Country:US
Mailing Address - Phone:540-330-7780
Mailing Address - Fax:540-266-7640
Practice Address - Street 1:1316 S JEFFERSON ST LOWR LEVEL
Practice Address - Street 2:SUITE 1
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-4953
Practice Address - Country:US
Practice Address - Phone:540-330-7780
Practice Address - Fax:540-266-7640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1410-03-001320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities