Healthcare Provider Details

I. General information

NPI: 1801073390
Provider Name (Legal Business Name): RESOURCE COORDINATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 01/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 HILLTOP TER SE
WASHINGTON DC
20019-4210
US

IV. Provider business mailing address

6005 CHINQUAPIN PKWY
BALTIMORE MD
21239-2203
US

V. Phone/Fax

Practice location:
  • Phone: 202-408-1226
  • Fax: 410-323-0335
Mailing address:
  • Phone: 410-323-0333
  • Fax: 410-323-0335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number0002078684
License Number StateMD

VIII. Authorized Official

Name: MRS. TONYA ALISON COPPIN
Title or Position: C.E.O
Credential: MS.ED
Phone: 410-323-0333