Provider Demographics
NPI:1508264870
Name:ATTENTIVE RESOURCES, LLC
Entity Type:Organization
Organization Name:ATTENTIVE RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-407-0037
Mailing Address - Street 1:3354 GARLAND AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46805-1724
Mailing Address - Country:US
Mailing Address - Phone:260-407-0037
Mailing Address - Fax:855-728-6764
Practice Address - Street 1:3354 GARLAND AVE
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805-1724
Practice Address - Country:US
Practice Address - Phone:260-407-0037
Practice Address - Fax:855-728-6764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN14-013581-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care