Provider Demographics
NPI:1528223864
Name:RESOURCE CONNECTION CASE MANAGEMENT AGENCY
Entity Type:Organization
Organization Name:RESOURCE CONNECTION CASE MANAGEMENT AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:R
Authorized Official - Last Name:SPANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-848-8653
Mailing Address - Street 1:2310 AVENUE M
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-4254
Mailing Address - Country:US
Mailing Address - Phone:561-848-8653
Mailing Address - Fax:
Practice Address - Street 1:1000 45TH ST
Practice Address - Street 2:SUITE 4B
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2434
Practice Address - Country:US
Practice Address - Phone:561-848-8653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management