Provider Demographics
NPI:1659505360
Name:E. A. RESOURCES, INC.
Entity Type:Organization
Organization Name:E. A. RESOURCES, INC.
Other - Org Name:BEN'S PLACE ADULT DAY HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:270-389-2424
Mailing Address - Street 1:1395 US HIGHWAY 60 W
Mailing Address - Street 2:P. O. BOX 143
Mailing Address - City:MORGANFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42437-6294
Mailing Address - Country:US
Mailing Address - Phone:270-389-2424
Mailing Address - Fax:270-389-2499
Practice Address - Street 1:1395 US HIGHWAY 60 W
Practice Address - Street 2:
Practice Address - City:MORGANFIELD
Practice Address - State:KY
Practice Address - Zip Code:42437-6294
Practice Address - Country:US
Practice Address - Phone:270-389-2424
Practice Address - Fax:270-389-2499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY750175251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCON#113-03-5096(1)OtherCERTIFICATE OF NEED