Provider Demographics
NPI:1568084879
Name:RESOLUTE CARE SERVICES INC
Entity Type:Organization
Organization Name:RESOLUTE CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:INYENE
Authorized Official - Middle Name:
Authorized Official - Last Name:UDOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-451-5531
Mailing Address - Street 1:117 CAMPBELL CT
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-0086
Mailing Address - Country:US
Mailing Address - Phone:704-451-5531
Mailing Address - Fax:704-496-9945
Practice Address - Street 1:117 CAMPBELL CT
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-0086
Practice Address - Country:US
Practice Address - Phone:704-451-5531
Practice Address - Fax:704-496-9945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-08
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care