Provider Demographics
NPI:1437564952
Name:GENERAL HEALTHCAE RESOURCES
Entity Type:Organization
Organization Name:GENERAL HEALTHCAE RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-781-7772
Mailing Address - Street 1:3325 RIVERCREST DR
Mailing Address - Street 2:APT 320
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-5769
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3325 RIVERCREST DR
Practice Address - Street 2:APT 320
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-5769
Practice Address - Country:US
Practice Address - Phone:203-599-5768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT33531251J00000X
FL251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care