Healthcare Provider Details

I. General information

NPI: 1659491751
Provider Name (Legal Business Name): RESOURCES FOR SENIORS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 09/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 NAVAHO DR SUITE 400
RALEIGH NC
27609-7352
US

IV. Provider business mailing address

1110 NAVAHO DR SUITE 400
RALEIGH NC
27609-7352
US

V. Phone/Fax

Practice location:
  • Phone: 919-713-1521
  • Fax:
Mailing address:
  • Phone: 919-713-1521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC0760
License Number StateNC
# 5
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID COTTENGIM
Title or Position: PRESIDENT
Credential:
Phone: 919-713-1521