Provider Demographics
NPI:1891370490
Name:RESOLUTE CARE LLC
Entity Type:Organization
Organization Name:RESOLUTE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KERICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-779-9473
Mailing Address - Street 1:830 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3305
Mailing Address - Country:US
Mailing Address - Phone:507-779-9473
Mailing Address - Fax:
Practice Address - Street 1:733 BENNETT ST
Practice Address - Street 2:
Practice Address - City:NORTH MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56003-2901
Practice Address - Country:US
Practice Address - Phone:507-779-9473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency