Provider Demographics
NPI:1023585098
Name:RSDR PROPERTIES LLC
Entity type:Organization
Organization Name:RSDR PROPERTIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-930-1935
Mailing Address - Street 1:990 CEDAR BRIDGE AVE STE B8
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-4157
Mailing Address - Country:US
Mailing Address - Phone:732-930-1935
Mailing Address - Fax:
Practice Address - Street 1:990 CEDAR BRIDGE AVE STE B8
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-4157
Practice Address - Country:US
Practice Address - Phone:732-930-1935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health