Provider Demographics
NPI:1962662692
Name:RESOURCES FOR INDEPENDENT LIVING, INC.
Entity Type:Organization
Organization Name:RESOURCES FOR INDEPENDENT LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:KILLION-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-747-7745
Mailing Address - Street 1:351 HIGH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4424
Mailing Address - Country:US
Mailing Address - Phone:609-747-7745
Mailing Address - Fax:609-747-1870
Practice Address - Street 1:351 HIGH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4424
Practice Address - Country:US
Practice Address - Phone:609-747-7745
Practice Address - Fax:609-747-1870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0374717Medicaid