Healthcare Provider Details

I. General information

NPI: 1033783097
Provider Name (Legal Business Name): RESIDENTIAL RESOURCES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2021
Last Update Date: 05/14/2021
Certification Date: 04/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 HARVEY RD
LONDONDERRY NH
03053
US

IV. Provider business mailing address

39 SUMMER ST
KEENE NH
03431-3318
US

V. Phone/Fax

Practice location:
  • Phone: 844-281-0421
  • Fax: 844-281-0422
Mailing address:
  • Phone: 800-287-2911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER BERTONCINI
Title or Position: CFO
Credential:
Phone: 800-287-2911