Healthcare Provider Details

I. General information

NPI: 1861693582
Provider Name (Legal Business Name): RESOURCE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23635 CREEK ROAD
CHUGIAK AK
99567-2009
US

IV. Provider business mailing address

23635 CREEK RD
CHUGIAK AK
99567-2009
US

V. Phone/Fax

Practice location:
  • Phone: 907-244-9896
  • Fax: 907-688-1356
Mailing address:
  • Phone: 907-244-9896
  • Fax: 907-688-1356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number31
License Number StateAK

VIII. Authorized Official

Name: MS. THERESA A. SWEDO
Title or Position: OWNER
Credential: LCSW
Phone: 907-244-9896