Healthcare Provider Details

I. General information

NPI: 1720420177
Provider Name (Legal Business Name): RESOURCES FOR SENIORS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 07/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5124 DEPARTURE DR SUITE 101
RALEIGH NC
27616-1958
US

IV. Provider business mailing address

1110 NAVAHO DR SUITE 400
RALEIGH NC
27609-7352
US

V. Phone/Fax

Practice location:
  • Phone: 919-873-1870
  • Fax:
Mailing address:
  • Phone: 919-872-7933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

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