Provider Demographics
NPI:1881963049
Name:RESOURCE, LLC.
Entity type:Organization
Organization Name:RESOURCE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVOCATE
Authorized Official - Prefix:MR
Authorized Official - First Name:H.
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WHITEHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-524-7063
Mailing Address - Street 1:98 DUNSTON AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-6323
Mailing Address - Country:US
Mailing Address - Phone:347-524-7063
Mailing Address - Fax:
Practice Address - Street 1:98 DUNSTON AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-6323
Practice Address - Country:US
Practice Address - Phone:347-524-7063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care