Provider Demographics
NPI:1497183420
Name:RESILIENT RNFA, LLC
Entity Type:Organization
Organization Name:RESILIENT RNFA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RNFA
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:COCOZZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, RNFA
Authorized Official - Phone:215-962-9924
Mailing Address - Street 1:117 FROST LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-2010
Mailing Address - Country:US
Mailing Address - Phone:215-962-9924
Mailing Address - Fax:215-860-3130
Practice Address - Street 1:117 FROST LN
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-2010
Practice Address - Country:US
Practice Address - Phone:215-962-9924
Practice Address - Fax:215-860-3130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-30
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN-259085-L251J00000X
NJ26NR17086200251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care