Provider Demographics
NPI:1669744546
Name:INCLUSIVE COMMUNITY RESOURCES LLC
Entity type:Organization
Organization Name:INCLUSIVE COMMUNITY RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISSMAN-STEINBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:510-981-8115
Mailing Address - Street 1:2001 CENTER ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-1242
Mailing Address - Country:US
Mailing Address - Phone:510-981-8115
Mailing Address - Fax:
Practice Address - Street 1:2001 CENTER ST
Practice Address - Street 2:SUITE 500
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1242
Practice Address - Country:US
Practice Address - Phone:510-981-8115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health