Provider Demographics
NPI:1649491556
Name:RESOURCE UNLIMITED
Entity type:Organization
Organization Name:RESOURCE UNLIMITED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:ETHERIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-488-6528
Mailing Address - Street 1:1390 WALKUP AVE STE I
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-3551
Mailing Address - Country:US
Mailing Address - Phone:704-238-1111
Mailing Address - Fax:704-238-1113
Practice Address - Street 1:1829 DICKERSON BLVD # 306
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-2759
Practice Address - Country:US
Practice Address - Phone:704-488-6528
Practice Address - Fax:704-521-6010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management